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目的模拟测算全国县、乡、村三级机构投入水平,为切实指导我国农村地区公共卫生项目的投入提供可操作性依据。方法上述全国投入的推算,依据的是全国农业人口数,并不包括县辖区内城镇人口数。结果基本医疗成本列入国家财政补助范围,县、乡、村分别需投入621.71亿元、302.29亿元和230.88亿元;如果基本医疗成本完全不纳入国家财政补助范围,分别需要投入157.98亿元、128.36亿元和152.98亿元;如果县级医疗成本列入国家财政补助范围,分别需要投入199.67亿元、302.29亿元和230.88亿元。
Objective To simulate and measure the input level of institutions at county, township and village levels throughout the country and provide operational basis for effectively guiding the input of public health programs in rural areas in China. Methods The above-mentioned estimates of national input are based on the total number of agricultural population in the country and do not include the urban population in the county area. Results The basic medical costs were included in the scope of state financial subsidies. The total investment in rural counties, townships and villages was 62.171 billion yuan, 30.229 billion yuan and 23.088 billion yuan respectively. If the basic medical costs are not included in the national financial subsidies at all, they need to invest 15.798 billion yuan, 12.836 billion yuan and 15.298 billion yuan respectively; if the county-level medical costs are included in the scope of state financial subsidies, they will need to invest 19.967 billion yuan, 30.229 billion yuan and 23.088 billion yuan respectively.