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According to the 2019 government work report,In the past five years,National financial medical and health investment accounted for less than 1.7%。The sample survey results of the National Health and Health Commission show,Medical treatment cost expenditure accounts for 84%of total health costs,Investment in the field of public health and prevention only accounts for only about 2%。In less investment,The type of prevention of the disease is mainly AIDS、Blood Suck disease、Tuberculosis,cost use for national immunization plan、Mental hygiene and chronic non -infectious disease prevention、Most infectious disease prevention and treatment、Epidemic prevention capacity building, etc.,But this item is invested in the Center for Disease Control and Prevention、Hospital、Maternal and Child Health Hospital、Blood Defense Office、Allocation of agriculture and other institutions, as well as provincial (district)、City、County and other levels of allocation is often uneven,This does not match the growth rate of my country's GDP in more than 40 years of reform and opening up。In order to improve the prevention capacity of public health institutions at all levels,Guarantee bet365 best casino games public safety,The central government will increase the financial investment of the public health and epidemic prevention system,Therefore, it is necessary to strengthen the supervision of special funds for fiscal prevention。
First,To strengthen special funds for epidemic prevention。While not changing the authority of the competent department for the distribution of special funds and management rights of the competent department,To strengthen the functions of the supervision and management subject of special funds allocation。During the application of funds,The competent department must give full play to the responsibilities of the special fund supervision and management body,The rationality of the distribution of funds in public health institutions is ensured through the "Sunshine" procedure;,The financial department must adhere to the policy -oriented strict fund approval,Ensure that the distribution of special funds will really fall in the fields of infectious disease prevention and epidemic prevention capacity,Improve the effectiveness of the distribution of special funds and use efficiency。At the same time,To strengthen disciplinary inspection and supervision and other departments to declare special funds、Review process supervision,to ensure that major public health incidents occur,The sufficient reserves of the infrastructure equipment and emergency supplies required for treatment; whether there is sufficient guarantee bet365 live casino games for the special scientific research expenses and incentive funds of key institutions and other institutions of the Disease Control Center,to ensure the advance prevention of major public health incidents。
Next,To strengthen the supervision of special funds for epidemic prevention。Each year, the state -of -state disease prevention and control funds are as many as 20 billion yuan,At present, the prevention and control funds of the new crown pneumonia's epidemic arranged by the central government are close to 20 billion yuan,In the next one to two years, the fiscal and local financial arrangements at all levels of the central and local levels may be as high as 100 billion yuan。Face such a huge fund supply,Governments of various local governments must first strengthen the construction of special funds for epidemic prevention,In particular, there must be strict punishment measures,Improve the rigid binding power of the system; requires all agencies to establish a standardized income and expenditure accounting system,Avoid all in the traditional model, regardless of the source of income sources, all through "fiscal subsidy income -basic expenditure subsidy income -basic public health service subsidy income",Both the content of the expenditure subjects are all in the following disadvantages of the following detailed details of "Medical and Health Expenditure -Public Health Expenditure -Basic Public Health Expenditure" subjects,Special -for special funds for establishing Bet365 app download special epidemic prevention funds、Discovery accounting、The management mode of closed operation;,Establish a special fund management post system,Avoid financial personnel and both jobs,to form mutual checks and balances、Special fund management organization structure restricted by each other,Effectively prevent the risk of use special funds for epidemic prevention。Careful use of special funds using procedures specifications and some institutions、No waiting for phenomenon,It is necessary to encourage relevant agencies to use it legally compliant and boldly use,Promote the improvement of the public health and epidemic prevention system。
again,Audit supervision of strengthening special funds for epidemic prevention。After the new crown pneumonia epidemic,Special funds for epidemic prevention will far exceed the total amount of various epidemic prevention funds over the years,Auditing supervision of the use of special funds for epidemic prevention,Dual effects that have errors and disadvantages and early warning and prevention,Through hard constraints on the use of funds,Maximum performance can be formed。First, the account audit and project audit are equal to。Special funds for epidemic prevention are not only used for medical assistance、Prevention of epidemic prevention,It can also be used for infrastructure construction、Medical materials reserve, etc.,Therefore, special audits need to be merged and audit for the two,To ensure the authenticity bet365 best casino games of the use of funds。Second, the use efficiency and efficiency are equal to。To avoid the use of special funds for epidemic prevention, the progress plan may promote the blindness of the use of funds、Random and other phenomena,Improve the economic and social benefits used by this fund。Third, the fund audit technology and methods are paid to。Metal accounting systems may occur in the use of special funds for epidemic prevention、Inaccurate capital information caused by the loss of accounting behavior、Unreliable problems,To strengthen the professional skills training of the auditors,Strengthen the cooperation with the financial and public health epidemic prevention agencies,Improve the efficiency and quality of capital management。Fourth is the feedback of results audit and application feedback。Audit of special funds for epidemic prevention except for the audit bureau's special audit,The unit must also establish a corresponding internal audit department or responsible person,Audit activities will be carried out irregularly,Audit results report on the Audit Bureau,and the performance assessment score in the use of special funds accounts for a certain proportion; it is necessary to urge the use unit to link the audit results with the direct responsibility department and the individual's year -end performance,Then improve the consciousness and management ability of the management of special funds for epidemic prevention。
Last,Strengthening special funds for epidemic prevention。Bet365 lotto review "You must ask performance,If the Responsibility will be invalid ",This is one of the basic principles of the performance of fiscal funds。Therefore,The performance of special funds for epidemic prevention must also be regulated。First,To separate funds distribution subject and assessment subject,Both cannot be the same institution,Either must have multiple subjects to participate,Either directly entrusts third -party professional institutions to supervise its performance。Second,According to the requirements of special funds for epidemic prevention,Establish a combination of short -term performance and medium and long -term performance assessment index system,The legitimacy of the use of funds、Compliance、Justice、Economics、Starting efficiency,From the current status of funds and budget matching、Funding effects and mass satisfaction,Economic benefits of realizing special funds for epidemic prevention and social benefits are equal to social benefits;,Set the personality index of performance evaluation,Measure the marginal income of the performance of funds through personality indicators。
(Author unit: Sichuan University Social Development and Social Risk Control Research Center、School of Public Management of Sichuan University)
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