Objective
To evaluate the performance on the project of health system recovery using World Bank loan for ‘5.12’ Wenchuan earthquake after three years of these projects have been finished.
Methods
From March to December 2016, we formulated evaluation frameworks and indicators, used statistical reports and surveys to collect data of the 60 post-earthquake recovery projects using World Bank loan in Chengdu, Deyang and some other cities. Data of pre-earthquake (2007) and post-earthquake (2015) were compared. The evaluation indicators included institutional size, institutional environment, institutional services and social benefits. A descriptive analysis was performed using SPSS 22.0 software.
Results
Compared with the year of 2007, in 2015, the building and utilized for business purpose areas of loan benefited hospitals increased 4.49 and 3.58 times, respectively. The budgeted and actual beds count increased 43% and 55%, respectively. All inside structure and processes of hospitals were optimized, and green areas, parking slots and waiting areas increased greatly. Headcount of budgeted and actual increased 15.09% and 70.31%, respectively. Qualifications of healthcare technicians were improved in country level hospitals as well; there were more undergraduates and more senior competent personnel. In maternal and child health care hospitals and township hospitals, more diploma holders and personnel who had passed the middle level professional appraisals were observed. Numbers of hospital treatments, hospitalizations counts, numbers of surgeries performed increased 2.0, 2.1, and 2.0 times, respectively. Accuracy of diagnosis on hospitalized counts increased 3.12%. Utilizations of bed counts increased from 63.87% to 66.53%. The average duration of hospitalizations decreased from 7.36 days to 7.10 days. Numbers of clinical and surgery types increased 928 and 285, respectively. Both customer and staff satisfactory score reached 4.5 points in 2015.
Conclusion
The completed projects of health system recovery using World Bank loan for ‘5.12’ Wenchuan earthquake is running well, and meet the expectations.
Citation：
LI Xiaorong, ZHAO Xiaoheng, NI Jie, WANG Ying, WU Yiyang. Evaluation of performance on the project of health system recovery using World Bank loan after Wenchuan earthquake. Chinese Journal of Evidence-Based Medicine, 2017, 17(7): 751-755. doi: 10.7507/1672-2531.201704049
Copy
Copyright ? the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
| 1. |
四川省人民政府, 世界銀行. 汶川地震災后恢復重建項目協定. 2009. 03.
|
| 2. |
國務院. 汶川地震災后恢復重建總體規劃 (國發[2008] 31號). 2008.09.19.
|
| 3. |
國家發展改革委, 教育部, 衛生部, 等. 汶川地震災后恢復重建公共服務設施建設專項規劃. 2008.11.20.
|
| 4. |
財政部. 國際金融組織貸款贈款項目績效評價管理辦法. 2013.03.01.
|
| 5. |
王娟. 國際金融組織貸款項目績效評估操作指南. 北京: 經濟科學出版社, 2015: 1-25.
|
| 6. |
楊少林. 國際金融組織項目績效評估典型案例. 北京: 經濟科學出版社, 2015: 1-10.
|
| 7. |
世行貸款/英國贈款中國農村衛生發展項目赴英考察組. " 世界銀行貸款/英國政府贈款中國農村衛生發展項目”衛生機構績效與服務質量評價考察報告. 中國衛生經濟, 2010, 29(11): 82-85.
|
| 8. |
王俊儒, 吳艷梅. 陜西省世界銀行貸款/英國贈款中國農村衛生發展項目第三領域健康促進活動效果評估. 中國初級衛生保健, 2012, 26(8): 23-25.
|
| 9. |
陳昌鋒, 閻正民. 鄉鎮衛生院建設項目評估. 現代預防醫學, 2005, 32(4): 363-364.
|
- 1. 四川省人民政府, 世界銀行. 汶川地震災后恢復重建項目協定. 2009. 03.
- 2. 國務院. 汶川地震災后恢復重建總體規劃 (國發[2008] 31號). 2008.09.19.
- 3. 國家發展改革委, 教育部, 衛生部, 等. 汶川地震災后恢復重建公共服務設施建設專項規劃. 2008.11.20.
- 4. 財政部. 國際金融組織貸款贈款項目績效評價管理辦法. 2013.03.01.
- 5. 王娟. 國際金融組織貸款項目績效評估操作指南. 北京: 經濟科學出版社, 2015: 1-25.
- 6. 楊少林. 國際金融組織項目績效評估典型案例. 北京: 經濟科學出版社, 2015: 1-10.
- 7. 世行貸款/英國贈款中國農村衛生發展項目赴英考察組. " 世界銀行貸款/英國政府贈款中國農村衛生發展項目”衛生機構績效與服務質量評價考察報告. 中國衛生經濟, 2010, 29(11): 82-85.
- 8. 王俊儒, 吳艷梅. 陜西省世界銀行貸款/英國贈款中國農村衛生發展項目第三領域健康促進活動效果評估. 中國初級衛生保健, 2012, 26(8): 23-25.
- 9. 陳昌鋒, 閻正民. 鄉鎮衛生院建設項目評估. 現代預防醫學, 2005, 32(4): 363-364.
