大型医用设备使用合理性分析  

Analysis of utilization of large medical equipments

作　　者：段胜楠[1] 吴媛[1] 梁斐[2] 胡献之[2] 谷茜[2] 刘佳琦[2] 何达[2] 陈英耀[2] 董恒进[1] 

机构地区：[1]浙江大学医学部卫生政策研究中心,浙江杭州310058 [2]复旦大学公共卫生学院,公共卫生安全教育部重点实验室,上海200032

出　　处：《中国卫生资源》2012年第3期228-230,共3页Chinese Health Resources

摘　　要：目的:了解医院大型医用设备的使用合理性并研究影响合理使用的因素。方法:采用抽样调查病历和专家评审病历相结合的方法,对部分省市的三级和二级医院2009年出院病历进行了研究。结果:不同级别医院住院病种分布差异较大,CT、MRI、DSA三种设备的使用合理率在医院级别及不同省份间的差异有统计学显著性。结论:三级医院CT、MRI、DSA的使用合理率大于二级医院,应重点加强二级医院服务能力的建设,卫生部门也应增加监管力度,使设备使用达到最佳合理化。Objective：To understand the rationality of the utilization of large medical equipments in hospitals and to identify the influencing factors. Methods：Data was collected from the discharged patients＇ records in 2009 from different levels of hospitals in different provinces. Experts reviewed the records and filled in the questionnaires. Results： The level of hospital played a great role in the disease mix. The differences in the rationality of CT, MRI, DSA utilization between hospital levels and among provinces were statistically significant. Conclusion： Rate of rea- sonable utilization of CT, MRI and DSA was higher in tertiary hospitals than that in secondary hospitals. Service ca- pacity building should be strengthened in secondary hospitals. Government Department of health should also increase monitoring for the optimized rationality of the utilization of equipments.

关 键 词：大型医用设备 使用合理率 医院级别 

分 类 号：R197.38[医药卫生—卫生事业管理]