【摘要】：目的　對深圳市為期 8年的全人口世行貸款結(jié)核病控制項目工作進行績效評價 ,探討項目績效評價的方法。方法　收集 1993～ 2 0 0 1年深圳市全人口結(jié)核病控制項目周期內(nèi)轉(zhuǎn)診、可疑者接診、涂陽患病、痰菌陰轉(zhuǎn)、治愈情況等及費用籌集和使用的有關(guān)資料 ,并在項目實施前后進行結(jié)核病流行病學調(diào)查和耐藥監(jiān)測 ,從服務(wù)公平性、健康可及性、項目效果、項目效益、項目效率等方面對該項目進行評價。結(jié)果　 (1)服務(wù)公平 :將外來人口納入結(jié)核病控制項目管理 ,實施全人口控制策略 ,并取得了與戶籍人口一致的效果 ;(2 )健康可及 :健全了市、區(qū)、鎮(zhèn)三級防治網(wǎng)絡(luò) ,全面實施歸口管治 ,推行全程督導(dǎo)管理方式 (DOTS)策略 ;(3)效果明顯 :減少了 1 5萬新發(fā)病人 ,患病率下降超過 5 0 % ,初始涂陽耐多藥率下降 7% ;(4 )效益巨大 :直接經(jīng)濟效益 1 4 2億元 ,間接經(jīng)濟效益挽回GDP損失 30 6億元 ,減少個人收入 17 6億元 ;(5 )效率高 :2月末痰菌陰轉(zhuǎn)率 88 8% ,3月末痰菌陰轉(zhuǎn)率 96 0 %。結(jié)論　該項目實施 8年績效明顯 ,政府承諾保證該項目可持續(xù)發(fā)展是非常必要的。
[Abstract]:Objective to evaluate the performance of the whole population World Bank loan TB Control Project in Shenzhen City for 8 years and to explore the method of project performance evaluation. Methods data were collected from the whole population TB control project in Shenzhen from 1993 to 2001, such as referrals, suspicious cases, smear positive disease, sputum negative conversion, cure status, and cost collection and use. The tuberculosis epidemiological investigation and drug resistance monitoring were carried out before and after the implementation of the project to evaluate the project from the aspects of service fairness, health accessibility, project effect, project benefit and project efficiency. Results (1) Fairness of service: bring foreign population into TB control project management, implement whole population control strategy, and achieve the same effect as household registration population; (2) Health accessibility: improved city and district, The three-level prevention and treatment network of town, the overall implementation of centralized governance, the implementation of the whole process of supervision and management of the (DOTS) strategy; (3) the effect is obvious: 150000 new patients were reduced, the prevalence rate decreased by more than 50%, The rate of initial smear positive multidrug resistance decreased by 7%. (4) the benefit is huge: the direct economic benefit is 1 4.2 billion yuan, the indirect economic benefit is 30.6 billion yuan, the loss of GDP is 30.6 billion yuan. The rate of sputum negative conversion was 88 8% at the end of February and 96 0% at the end of March. Conclusion the performance of the project is obvious in 8 years, and it is necessary for the government to guarantee the sustainable development of the project.
【作者單位】： 廣東省深圳市慢性病防治院 廣東省深圳市慢性病防治院 廣東省深圳市衛(wèi)生局 廣東省深圳市慢性病防治院 廣東省深圳市衛(wèi)生局
【分類號】：R52

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