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目的探讨计划免疫合理成本和合理投入,争取各级政府对计划免疫工作的经费投入。方法在实际成本的基础上,根据卫生部《计划免疫技术管理规程》中所要求开展的计划免疫工作,应用定性调查结果对计划免疫工作合理成本和合理投入进行测算。结果山东、湖南、甘肃省每名儿童计划免疫合理投入分别为291.63元、260.85元、274.39元,三省平均合理投入每名儿童275.62元,全国每年计划免疫工作合理成本应为44.20亿元。政府负担计划免疫合理成本模式中,中央财政负担61.08元,占22.16%;省级财政负担41.52元,占15.07%;市级财政负担36.58元,占13.27%;县级财政负担136.44元,占49.50%。为村医提供预防接种服务补助经费标准是每剂次3.84元,全国预防接种服务补助经费为9.24亿元。结论合理成本是各级政府对计划免疫工作合理投入的依据;各级政府要加大投入,保证计划免疫工作经费;中央和省级要加大对贫困地区支持力度,解决基层工作人员预防接种补助经费。
Objective To explore the reasonable cost and reasonable investment of planned immunization, and strive for the funding of planned immunization work by governments at all levels. Methods Based on the actual cost, according to the planned immunization work required by the Ministry of Public Health’s “Regulations on the Management of Immunization Technology”, the reasonable cost and reasonable investment of the planned immunization should be calculated based on the qualitative findings. Results The planned immunization cost per child in Shandong, Hunan and Gansu provinces was 291.63 yuan, 260.85 yuan and 274.39 yuan respectively. The three provinces invested an average of 275.62 yuan per child. The reasonable cost of planned immunization in the whole country should be 4.42 billion yuan. In the mode of immune reasonable cost for the government burden plan, the central financial burden is 61.08 yuan, accounting for 22.16%; the provincial financial burden is 41.52 yuan, accounting for 15.07%; the municipal financial burden is 36.58 yuan, accounting for 13.27%; and the county financial burden is 136.44 yuan, accounting for 49.50% %. The subsidy for vaccination services for village doctors is 3.84 yuan per dose and 924 million yuan for subsidies for national immunization services. Conclusions The reasonable cost is the basis for reasonable government investment in planned immunization at all levels. Governments at all levels should increase their investment to ensure the funding for the planned immunization work. The central and provincial governments should step up support for poverty-stricken areas and solve the vaccination subsidies for grassroots workers Funding