摘要
目的 对深圳市为期 8年的全人口世行贷款结核病控制项目工作进行绩效评价 ,探讨项目绩效评价的方法。方法 收集 1993～ 2 0 0 1年深圳市全人口结核病控制项目周期内转诊、可疑者接诊、涂阳患病、痰菌阴转、治愈情况等及费用筹集和使用的有关资料 ,并在项目实施前后进行结核病流行病学调查和耐药监测 ,从服务公平性、健康可及性、项目效果、项目效益、项目效率等方面对该项目进行评价。结果 (1)服务公平 :将外来人口纳入结核病控制项目管理 ,实施全人口控制策略 ,并取得了与户籍人口一致的效果 ;(2 )健康可及 :健全了市、区、镇三级防治网络 ,全面实施归口管治 ,推行全程督导管理方式 (DOTS)策略 ;(3)效果明显 :减少了 1 5万新发病人 ,患病率下降超过 5 0 % ,初始涂阳耐多药率下降 7% ;(4 )效益巨大 :直接经济效益 1 4 2亿元 ,间接经济效益挽回GDP损失 30 6亿元 ,减少个人收入 17 6亿元 ;(5 )效率高 :2月末痰菌阴转率 88 8% ,3月末痰菌阴转率 96 0 %。结论 该项目实施 8年绩效明显 ,政府承诺保证该项目可持续发展是非常必要的。
Objective To evaluate the performance of All Population Tuberculosis Control Project of the World Bank Loan for 8 years and discuss the method of evaluation in project's performance.Methods Data were collected from 1993 to 2001 for transfer and acception of suspected patients,the smear-positive,the smear-negative of sputum TB,cure,raise and usage of the fund. Epidemic investigation on pulmonary TB and drug resistance monitoring was completed.The evaluation was done from the aspect of service equity,health accessibility,project effect,project benefit and project efficiency.Results (1)service equity:The external population was bring into the project management and the strategy of all population control was done,the effect was the same as population with residence card's;(2)health accessibility:three-level prevention and control network of city,area and town was perfected,and take measure of DOTS strategy;(3)effect evident:The project result in reducing 1.5×10 4 incidence and dropping beyond 50% in prevalence rate,multiple drug resistance rate in initial smear-positive dropping 7%.(4)benefit great:its direct economic returns were $1.42×10 9 and its indirect economic returns were redeem GDP $30.6×10 9;it retrieve individual income for tuberculosis $17.6×10 9.(5)efficiency high:the sputum conversion rate was 88.8% in the end of February and was 96.0% in the end of March.Conclusion It was developing great social effects and economic returns since the project was done for 8 years and it was essential for government promise to develop the project continously.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2004年第7期837-839,共3页
Chinese Journal of Public Health
关键词
肺结核病
卫生经济
绩效评价
pulmonary tuberculosis
health economic
performance evaluation
