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目的：调查分析汶川地震灾区医疗卫生机构灾后5年应急救援能力及应急管理能力重建及提升情况，为今后相关工作的开展提供借鉴。方法：采用方便抽样法，对汶川地震中5个极重灾区、13个重灾区的县市级医院进行调查，收集其灾后5年医院急救设施设备、应急管理、人员培养等方面的恢复重建情况并进行分析。结果：经过5年灾后重建，18所医院的急救设施设备得到极大改善，应急救援及应急管理能力稳步提升。结论：以对口帮扶机制为特色的灾后重建模式的高效、有序运行，在灾区恢复重建过程中发挥了巨大作用。“,”Objective:To investigate the rebuilding and improvement of ifrst-aid and emergency management of medical and health institutionsin Wenchuan earthquake area 5 years later, and to provide references for further reconstruction. Methods:We used convenience sampling method to collect data focused on the emergency facilities, management and personnel training from 18 local hospitals in 5 extreme severe and 13 severe disaster areas in Wenchuan earthquake area. Results:After 5-year reconstruction, emergency facilities in all 18 hospitals have improved greatly, and emergency management and personnel training have improved as well. Conclusion:Post-disaster reconstruction model with Chinese characteristics, particularly in the counterpart cooperation, works efifciently and orderly and plays a great role in post-earthquake reconstruction.