xx市xx区人民医院改扩建项目的可行性研究报告书.doc

have shown interest in this new and unusual sport. but though air cyclists may learn how to fly over short distances, and may, eventually, even get across the english channel, it is doubtful whether they will ever cycle across the atlantic.lesson67 volcanoes 火山haroun tazieff the polish scientist, has spent his life-time studying active volcanoes and deep caves in all parts of the world. in 1948, he went to lake kivu in the congo to observe a new volcano which he later named kituro. tazieff was able to set up his camp very close to the volcano while it was erupting violently. though he managed to take a number of brilliant photographs, he could not stay near the volcano for very long. he noticed that a river of liquid rock was coming towards him. it threatened to surround him completely, but tazieff managed to escape just in time. he waited until the volcano became quiet and he was able to return two days later. this time, he managed to climb into the mouth of kituro so that he could take photographs and measure temperatures. tazieff has often risked his life in this way. he has been able to tell us more about active volcanoes than any man alive. lesson68 persistent 纠缠不休i crossed the street to avoid meeting him, but he saw me and came running towards me. it was no use pretending that i had not seen him, so i waved to him. i never enjoy meeting bert dykes. he never has anything to do. no matter how busy you are, he always insists on coming with you. i had to think of a way of preventing him from following me around all morning.hullo, bert, i said. fancy meeting you here !hullo, elizabeth, bert answered. i was just wondering how to spend the morning-until i saw you. youre not busy doing anything, are you ? no, not at all, i answered. im going to. .would you mind my coming with you ? he asked, before i had finished speaking. not at all, i lied, but im going to the dentist. then ill come with you, he answered. theres always plenty to read in the waiting room !lesson69 but not murder! 并非谋杀！i was being tested for a driving licence for the third time. i had been asked to drive in heavy traffic and had done so successfully. after having been instructed to drive out of town, i began to acquire confidence. sure that i had passed, i was almost beginning to enjoy my test. the examiner must have been pleased with my performance, for he smiled and said, just one more thing, mr eames. let us suppose that a child suddenly crosses the road in front of you. as soon as i tap on the window, i want the car to be stopped immediately. i continued driving and after some time, the examiner tapped loudly. though the sound could be heard clearly, it took me a long time to react. i suddenly pressed the brake pedal hard and we were both thrown forward. the examiner looked at me sadly. mr eames, he said, in a mournful voice, you have just killed that child ! lesson70 red for danger 危险的红色during a bullfight, a drunk suddenly wandered into the middle of the ring. the crowd began to shout, but the drunk was unaware of the danger. the bull was busy with the matador at the time, but it suddenly caught sight of the drunk who was shouting rude remarks and waving a red cap. apparently sensitive to criticism, the bull forgot all about the matador and charged at the drunk. the crowd suddenly grew quiet. the drunk, however, seemed quite sure of himself. when the bull got close to him, he clumsily stepped aside to let it pass. the crowd broke into cheers and the drunk bowed. by this time, however, three men had come into the ring and they quickly dragged the drunk to safety. even the bull seemed to feel sorry for him, for it looked on sympathetically until the drunk was out of the way before once more turning its attention to the matador.lesson71 a famous clock 一个著名的大钟when you visit london, one of the first things you will see is big ben, the famous clock which can be heard all over the world on the b.b.c. if the houses of parliament had hot been burned down in 1834, the great clock would never have been erected. big ben takes its name from sir benjamin hall who was responsible for the making of the clock when the new houses of parliament were being built. it is not only of immense size, but is extremely accurate as well. officials from greenwich observatory have the clock checked twice a day. on the b.b.c. you can hear the clock when it is actually striking because microphones are connected to the clock tower. big ben has rarely gone wrong. once, however, it failed to give the correct time. a painter who had been working on the tower hung a pot of paint on one of the hands and slowed it down ! lesson72 a car called bluebird “蓝鸟”汽车the great racing driver, sir malcolm campbell, was the first man to drive at over 300 miles per hour. he set up a new world record in september 1935 at bonneville salt flats, utah. bluebird, the car he was driving, had been specially built for him. it was over 30 feet in length and had a 2500 horse-power engine. although campbell reached a speed of over 304 miles per hour, he had great difficulty in controlling the car because a tyre burst during the first run. after his attempt, campbell was disappointed to learn that his average speed had been 299 miles per hour. however, a few days later, he was told that a mistake had been made. his average speed had been 301 miles per hour. since that time, racing drivers have reached speeds of over 400 miles an hour. following his fathers footsteps many years later, sir malcolms son, donald, also set up a world record. like his father, he was driving a car called bluebird.lesson73 the record-holder 纪录保持者little boys who play truant from school are unimaginative. a quiet days fishing, or eight hours in a cinema seeing the same film over and over again, is usually as far as they get. they have all been put to shame by a boy who, while playing truant, travelled 1600 miles. he hitch- hiked to dover and, towards evening, went into a boat to find somewhere to sleep. when he woke up next morning, he discovered that the boat had, in the meantime, travelled to calais. no one noticed the boy as he crept off. from there, he hitch-hiked to paris in a lorry. the driver gave him a few biscuits and a cup of coffee and left him just outside the city. the next car the boy stopped did not take him into the centre of paris as he hoped it would, but to perpignan on the french-spanish border. there he was picked up by a policeman and sent back to england by the local authorities. he has surely set up a record for the thousands of boys who dream of evading school.lesson74 out of the limelight 舞台之外an ancient bus stopped by a dry river bed and a party of famous actors and actresses got off. dressed in dark glasses and old clothes, they had taken special precautions so that no one should recognize them. but as they soon discovered, disguises can sometimes be too perfect.this is a wonderful place for a picnic, said gloria gleam. it couldnt be better, gloria, brinksley meers agreed. no newspaper men, no film fans! why dont we come more often ? meanwhile, two other actors, rockwall slinger and merlin greeves, had carried two large food baskets to a shady spot under some trees. when they had all made themselves comfortable, a stranger appeared. he looked very angry. now you gut out of here, all of you! he shouted: im sheriff here. do you see that notice ? it says no camping-in case you cant read ! look, sheriff, said rockwall, dont be too hard on us. im rockwall slinger and this is merlin greeves. oh, is it ? said the sheriff with a sneer. well, im brinksley meers, and my other name is gloria gleam. now you get out of here fast !lesson75 sos 呼救信号when a light passenger plane flew off course some time ago, it crashed in the mountains and its pilot was killed. the only passengers, a young woman and her two baby daughters, were unhurt. it was the middle of winter. snow lay thick on the ground. the woman knew that the nearest village was miles away. when it grew dark. she turned a suitcase into a bed and put the children inside it, covering them with all the clothes she could find. during the night, it got terribly cold. the woman kept as near as she could to the children and even tried to get into the case herself, but it was too small. early ,next morning she heard planes passing overhead and wondered how she could send a signal. then she had an idea. she stamped out the letters sos in the snow. fortunately, a pilot saw the signal and sent a message by radio to the nearest town. it was not long before a helicopter arrived on the scene to rescue the survivors of the plane crash.lesson76 april fools day 愚人节to end our special news bulletin, said the voice of the television announcer, we are taking you to the macaroni fields of calabria. macaroni has been grown in this area for over six hundred years. two of the leading growers, giuseppe moldova and ricardo brabante, tell me that they have been expecting a splendid crop this year and harvesting has begun earlier than usual. here you can see two workers who, between them, have just finished cutting three cart-loads of golden brownmacaroni stalks. the whole village has been working day and night gathering and threshing this years crop before the september rains. on the right, you can see mrs brabante herself. she has been helping her husband for thirty years now. mrs brabante is talking to the manager of the local factory where the crop is processed. this last scene shows you what will happen at the end of the harvest : the famous calabrian macaroni-eating competition ! signor fratelli, the present champion, has won it every year since 1961. and that ends our special bulletin for today, thursday, april 1st. we are now returning you to the studio.lesson77 a successful operation 一例成功的手术the mummy of an egyptian woman who died in 800 b.c. has just had an operation. the mummy is that of shepenmut who was once a singer in the temple of thebes. as there were strange marks on the x-ray plates taken of the mummy, doctors have been trying to find out whether the woman died of a rare disease. the only way to do this was to operate. the operation, which lasted for over four hours, proved to be very difficult because of the hard resin which covered the skin. the doctors removed a section of the mummy and sent it to a laboratory. they also found something which the x-ray of the god duamutef. this god which has the head of a cow was normally placedinside a mummy. the doctors have not yet decided how the woman died. they feared that the mummy would fall to pieces when they cut it open, but fortunately this has not happened. the mummy successfully survived the operation. lesson78 the last one? 最后一枝吗？after reading an article entitled cigarette smoking and your health i lit a cigarette to calm my nerves. i smoked with concentration and pleasure as i was sure that this would be my last cigarette. for a whole week i did not smoke at all and during this time, my wife suffered terribly. i had all the usual symptoms of someone giving up smoking: a bad temper and an enormous appetite. my friends kept on offering me cigarettes and cigars. they made no effort to hide their amusement whenever i produced a packet of sweets from my pocket. after seven days of this i went to a party. everybody around me was smoking and i felt extremely uncomfortable. when my old friend brian urged me to accept a cigarette, it was more than i could bear. i took one guiltily, lit it and smoked with satisfaction. my wife was delighted that things had returned to normal once more. anyway, as brian pointed out, it is the easiest thing in the world to give up smoking. he himself has done it lots of times! lesson79 by air 乘飞机i used to travel by air a great deal when i was a boy. my parents, used to live in south america and i used to fly there from europe in the holidays. an airhostess would take charge of me and i never had an unpleasant experience. i am used to travelling by air and only on one occasion have i ever felt frightened. after taking off, we were flying low over the city and slowly gaining height, when the plane suddenly turned round and flew back to the airport. while we were waiting to land, an air-hostess told us to keep calm and to get off the plane quietly as soon as it had touched down. everybody on board was worried and we were curious to find out what had happened. later we learnt that there was a very important person on board. the police had been told that a bomb had been planted on the plane. after we had landed, the plane was searched thoroughly. fortunately, nothing was found and five hours later we were able to take off again.lesson80 the crystal palace 水晶宫perhaps the most extraordinary building of the nineteenth century was the crystal palace, which was built in hyde park for the great exhibition of 1851. the crystal palace was different from all other buildings in the world, for it was made of iron and glass. it was one of the biggest buildings of all time and a lot of people from many countries came to see it. a great many goods were sent to the exhibition from人民医院改扩建项目可行性研究报告1 总论1.1 项目概况项目名称：xx市xx区人民医院改扩建项目项目地址：xx市aa街项目业主：xx市xx区人民医院法人代表：xxxxxxx 项目摘要：xx市xx区人民医院改扩建项目是为配合医院“升三院、创二甲”实施的硬件建设工程。项目利用xx区人民医院原址进行改扩建，新建门诊大楼3270、地下停车场1113和临时门诊用房建设435，并按二级甲等综合性医院配套设备及编制床单元基础设施。项目估算总投资12007万元，其中项目业主自筹资金300万元，申请各级政府财政补助280万元，商请区财政贴息贷款620万元。项目计划工期1年，于2010年11月竣工。1.2 研究工作的依据、原则和范围1.2.1 研究工作依据按照中共某省委、某省人民政府关于加快建立和完善城乡卫生体系的决定（川委发200752号）文件，以及xx市规划和建设局宜规建函20075139号关于xx市xx区人民医院申请门诊大楼改建的复函，20072年xx市建设工程质量监督站关于xx市xx区人民医院门诊楼工程结构安全性鉴定报告作为项目的编制依据。1.2.2 研究工作原则根据客观条件和医院发展总体目标，按照国家二级综合性医院建设标准、国家基本建设项目程序及项目可行性研究必要的内容开展本项目的可行性研究。1.2.3 研究工作范围本报告着重对项目建设的背景和必要性、建设条件、建设内容及规模、工程设计方案、环境保护、项目组织管理等进行可行性研究；按照国家现行的设计规范、规定、定额，估算项目总投资。根据国家的财税制度和有关政策、建设项目经济评价方法与参数对项目进行财务效益分析、评价，并提出结论性意见，供建设业主和有关部门决策。1.3 可行性研究概要1.3.1 项目建设背景和必要性xx市是正在实施跨越式发展的区域性二级中心城市，但医疗卫生条件发展较为滞后。中心城区现有的三家主要医院医疗现状为门诊拥挤、住院床位严重不足、医疗设备设施需更新、医疗技术尚需进一步提高，随着人民生活的提高，用于医疗保健方面的支出必将大大提高，全市医疗卫生的总体水平还有待于提高，才能满足全市人民对医疗卫生保健的总体需求。xx市xx区人民医院作为xx区属唯一的一家综合性医院，承担全区70多万人的医疗卫生工作，但落后的医疗设备设施条件更显突出，特别是现有门诊大楼已被鉴定为危房，需尽快拆除重建。本项目的实施，将在一定程度上改善xx区人民医院的医疗设施条件，更好地服务于全区群众，并为xx区人民医院“升三院、创二甲”创造重要条件。项目的建设是必要的和迫切的。医疗服务需求分析xx市xx区人民医院为一所二级乙等综合医院，项目建成后，医院医疗条件将有较大的提高，以满足xx市人民、日益增长的旅游客人及周边邻近市、县广大人民群众对优质医疗服务的需求。项目建成后，预计日门诊量可达300人次，年住院医疗量5853人次，病床利用率达到85%以上。1.3.3 项目地址及建设条件项目选址在xx区人民医院原门诊大楼地址基础上向内退后5米建设。场址建设条件具备，交通便利，利于病员就诊，场址环境现状、周边区域的城市功能分区等条件符合国家综合医院建设标准选址条件。1.3.4 建设规模规划日门诊量300人次，床位数240张。1.3.5 建设内容1、总建筑面积4818，其中新建门诊大楼3270、地下停车场1113；临时门诊用房建设435；2、按二级甲等综合性医院配套设备及编制床单元基础设施；3、住院大楼装饰7267；4、配备医疗设备32台、套。1.3.6 建设进度与计划工程总工期14个月，施工期 10 个月。1.3.7 投资估算项目估算总投资为12007万元，其中第一部分工程费用1143.56万元，第二部分其他工程费用41.20万元，预备费用54.46万元，建设期利息56.44万元。1.3.8 资金筹措项目建设总投资12007万元，资金筹措方案为医院自筹资金300万元，申请上级财政项目补助经费 280万元，申请政府担保、贴息贷款620万元。1.3.9 效益分析项目投资利润率21. 74%，内部收益率23.64%，投资回收期5.64年，借款偿还期4.9年。从宏观形势的发展看，国民经济收入水平明显提高，人民群众医疗保健意识及就诊环境要求增高，居民用于医疗卫生方面的支出也保持着持续增长的势头。近几年来，医院每年以业务收入平均20%的速度增长，本项目建成后必将为医院带来不断发展的契机，经过规范建设后的门诊大楼，将使就医环境得到进一步的改善，基础设施完备，更加体现出医疗服务中的人性化关怀，可以更好的发挥医疗、保健、急救和应对突发性公共卫生事件的能力，达到更好的满足广大人民群众医疗需求的目的，对推动我区卫生事业的发展具有深远的历史意义和现实意义。同时也为xx市xx区人民医院年底升为xx市第三人民医院和创二级甲等创造良好的硬件条件。1.3.10 结论项目地址选择符合有关规定，建设配套条件良好，项目建设内容及投资按照相关规定进行设计、设置和估算，资金筹措方案合理，项目可行并具迫切性。14主要技术经济指标汇总表1-1 主要技术经济指标汇总表序号指标名称单位设计指标备注1建设规模1.1门诊量人次3001.2床位数张2402建设内容2. 1门诊大楼m232702.2地下停车场m211132.3临时门诊用房m24352.4住院大楼装饰m272672.5床单元改造床2402.6购置医疗仪器设备台、套323建设期年4固定资产投资万元12007其中：建设期利息万元56.445融资方案5.1自筹资金万元3005.2财政补助万元2805.3银行长期贷款万元6206财务指标6.1营业收入万元1966达到规模时6.2总成本费用万元1603正常年6.3年均净收入万元316.776.4内部收益率（全部投资）23.6465净现值（ic=10%）万元12306.6年平均投资利润率%21. 746.7投资回收期年5.64含建设期1年6.8借款偿还期年4.9从建设期起2 项目背景及建设必要性2.1 项目背景2.1.1 项目提出1、xx市医疗卫生情况xx市医疗卫生事业在党和国家有关方针、政策的指导下，已形成了比较完善的卫生保障体系，20075年，全市已有各类卫生机构412个（含村卫生所、个体诊所），医院、卫生院床位数达到10348张，每万人拥有20张床位，县级医院床位约18张。20074年以来，为了实现xx市一级中心城市的总体目标，xx市加大了医疗卫生方面的投入，目前xx区辖区内的三家主要医院，市一医院床位700张，年门诊人次33万，住院人次1.9万人次，年收入达到0.95亿元；二医院床位1000张，年门诊人次36万，住院2.7万人次，年收入1.4亿元。xx区人民医院床位2007张，年门诊人次9.5万人次、住院0.43万人次，年收入2861万元。城镇人口用于医疗保健方面的资金为2.85亿元，占总支出的5.77%。随着人民生活的提高，用于医疗保健方面的支出必将大大提高，全市医疗卫生的总体水平还有待于提高，才能满足全市人民对医疗卫生保健的总体需求。2、xx市xx区人民医院门诊用房现状xx市xx区人民医院位于老城区aa街口，门诊大楼建于60年代初，系砖木混结构，防火等级极低，历次消防安全检查中均被视为达不到防火要求而应立即整改，甚至停业整顿的通知，主体工程未贴面砖，墙体砌体已出现严重的风化、侵蚀、剥落，屋面、楼面渗漏严重。因渗漏使水侵入本楼盖内，使本楼盖长期处于潮湿环境，木楼盖支承系统木材腐蚀严重，部分木梁已开始腐朽、断裂，存在安全隐患，不能满足正常使用要求。该楼于20072年初被鉴定为du级危房，根据市建筑质量监督的权威意见“医院门诊大楼已无维修加固的必要，应尽快拆除。”（附件1：工程鉴定报告）3、xx市xx区人民医院实施“升三院、创二甲”的需要根据xx市、xx区城市发展和医疗卫生发展规划，在xx区委、区政府的高度重视和领导下，xx市xx区人民医院即将在20079年底升级为xx市第三人民医院，全院上下正着力实施“升三院、创二甲”硬件建设，而xx区人民医院改扩建项目的实施，将改善xx区人民医院的现状条件，完善医院医疗设备、设施，提高医疗业务技术水平，为医院升格为xx市第三人民医院创造重要条件，以崭新的面貌出现在宜宾人民面前。2.1.2 项目业主概况基本情况单位名称：xx市xx区人民医院单位性质：法人代表：单位地址： xxx市xx区人民医院是xx区唯一一所综合性医院，是一所集医疗、防保、急救和教学科研任务于一体的国家二级乙等综合性医院、国家级爱婴医院、医学院教学医院、社保、商业保险定点医院，是某大学医学院第一附属医院的网络医院。医院现有职工300人，其中高中级知识分子200人（正高级2人，副高级24人，中级92人）；占地面积10000平方米,房屋建筑面积26246平方米,现有业务用房面积12393平方米（其中门诊3137平方米，住院部7267平方米，行政1989平方米），固定资产总值3880万元；除aa街院本部外，市内还设有分院4所和7个社区卫生服务站。医院现有编制床位20