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目的对“5.12”汶川地震后世界银行贷款灾后卫生恢复重建项目建成运行3年绩效进行评价。方法自2016年3月至11月,通过制定评估框架和评估指标体系,收集统计报表,进行问卷调查和现场调查等,了解成都和德阳等地“5.12”汶川地震后世界银行贷款灾后卫生恢复重建60个项目截至2015年底的运行情况,并与2007年地震前的情况进行对比。评价指标包括机构规模、机构环境、机构服务供给、社会效益等。统计分析采用SPSS 22.0软件进行。结果与2007年相比,2015年项目单位的房屋建筑面积和业务用房面积分别增加4.49倍和3.58倍;院均编制床位和实有床位数分别增加43%和55%。所有医院功能分区更加符合医疗流程的要求,医院绿地面积、停车面积和候诊面积都有较大幅度增加。建设后项目单位平均编制人数和在岗职工数分别增长15.09%和70.31%。县级医院卫生技术本科以上学历和高级称职人员比例增加,妇幼保健院和乡镇卫生院大专及以上学历人员和中级及以上职称人员比例增加。医疗服务总诊疗人次、出院人数、住院患者手术人次数分别是2007年的2.0倍、2.1倍和2.0倍。入院与出院诊断符合率提高3.12%,病床使用率从63.78%提高到66.53%,出院患者平均住院日从7.36天降低到7.10天。项目单位实际开展临床项目数和手术项目数分别增加928项和285项。2015年员工和患者满意度总体评分均大于4.5分。结论 “5.12”汶川地震后世界银行贷款灾后卫生恢复重建项目建成运行良好,达到了预期目标。
Objective To evaluate the performance of the post-disaster health restoration and reconstruction project of the World Bank loan post-Wenchuan Earthquake. Methods From March to November, 2016, we learned about the post-quake disaster of World Bank loans after the “5.12 ” Wenchuan earthquake in Chengdu and Deyang by formulating the assessment framework and index system, collecting statistical reports, conducting questionnaires and conducting field surveys. The reconstruction and reconstruction of 60 projects as of the end of 2015 are compared with the situation before the earthquake in 2007. The evaluation indicators include the size of the organization, the institutional environment, the supply of institutional services and social benefits. Statistical analysis using SPSS 22.0 software. Results Compared with 2007, the construction area and commercial space of project units increased by 4.49 times and 3.58 times respectively in 2015; and the number of beds and actual beds in the institutes increased by 43% and 55% respectively. All hospital functional zoning more in line with the requirements of the medical process, the hospital green area, parking area and waiting area have a more substantial increase. After construction, the average number of project units and on-the-job employees increased by 15.09% and 70.31% respectively. The proportion of bachelor degree or above senior technicians in county-level hospitals has been increased, and the proportion of those with majored and higher education at maternity and child health centers, township hospitals and above and middle-level and above titles has increased. The total number of medical treatment services, discharge, number of hospitalized patients were 2.0 times in 2007, 2.1 times and 2.0 times. The coincidence rate of hospital admission and discharge increased by 3.12%, the utilization rate of hospital beds increased from 63.78% to 66.53%, and the average length of stay of hospital discharges decreased from 7.36 days to 7.10 days. The number of clinical projects and surgical projects actually carried out by the project unit increased by 928 and 285 respectively. In 2015, the overall scores of employee satisfaction and patient satisfaction were greater than 4.5. Conclusion After the “5.12 ” Wenchuan earthquake, the World Bank loan post-disaster health restoration and reconstruction project was completed and operated well and reached the expected target.