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    中国公共卫生投入增长状况综合评价——2000~2017年分析与2017年检测

    摘要

    2000~2017年,全国卫生投入总量由494。26亿元增至14450。63亿元,年均增长21。96%,进展十分显著。各个五年规划期以来纵向测评的综合指数最高值均出现在2017年,逐年增长检测却显得起伏不定,并非连年持续向好;横向测评距离理想值的差距一向非常明显,综合指数不时略有下降。深入检测卫生投入与经济、财政相关背景,与教育、科技、文化投入相邻关系,检测各类数据人均值演算的地区之间均衡性,可以揭示其间进展与差距所在:①卫生投入增长显著高于产值增长,也明显高于财政收入、财政支出增长,同时明显高于教育投入增长,但较明显低于科技投入增长,而显著高于文化投入增长;②除了文化投入以外,其余各类数据的地区差皆呈现为缩小态势,卫生投入人均值地区差缩小24。70%。全国各地经济、财政“协调增长”,教育、科技、卫生事业投入“均等增长”,正在逐渐成为现实,而不再仅仅是一种追求中的理想。

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    Abstract

    From 2000 to 2017,the national total expenditure for public health increased from 49.426 billion yuan to 1445.063 billion yuan,with an average annual growth of 21.96%. The highest values of the composite index of longitudinal evaluation in each Five-Year Plan period mostly appeard in 2017;however it didn’t continuously improve but showing ups and downs. In the lateral evaluation,the gap of the ideal value has always been very obvious and the comprehensive index declined slightly from time to time. By in-depth testing the health investment related to its economic and financial background,the similarities to the expenditure for education,science & technology and culture,and the regional balance of all kinds of per capita value calculation,we can reveal the headway and the gaps:(1)The health investment growth was remarkably higher than GDP growth;it was evidently higher than the fiscal revenue growth,and evidently higher than the fiscal expenditure growth;it was evidently higher than the education investment growth,but certainly lower than the science & technology investment growth,and that remarkably higher than the culture investment growth.(2)Besides the culture investment,the regional disparity of all the other kinds of data has narrowed,the regional disparity of the health investment was reduced by 24.70%. It is gradually becoming a reality,not just a pursuit that the whole country has achieved economic and financial “balanced growth” and “equal growth” in the expenditure for education,science & technology and health.

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    作者简介
    王亚南:王亚南,云南省社会科学院研究员,文化发展研究中心主任,主要研究方向为民俗学、民族学及文化理论、文化战略和文化产业研究。
    刘婷:刘婷,云南省社会科学院民族文学研究所研究员,博士,美国威斯康星大学访问学者,主要研究方向为文化人类学。
    陈勇强:陈勇强,昆明市社会科学院副院长,主要从事文化建设、文化产业研究。
    魏海燕:魏海燕,云南省政协信息中心主任编辑,主要从事传媒信息分析研究。
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