委属委管医院医疗设备配置现状与问题探讨  

Analysis on medical equipment deploymenfforhospitals directly under or managed by the NHFPC

作　　者：曹亚娜[1] 王洁[1] 耿寅[1] 王芳[1] 

机构地区：[1]北京医院国家老年医学中心,100730

出　　处：《中华医院管理杂志》2017年第3期231-234,共4页Chinese Journal of Hospital Administration

摘　　要：目的了解44家委属委管医院医疗设备配置现状与存在的问题，探索设备配置数量与门急诊量及住院手术量的相关性，为科学合理配置医疗设备提供依据。方法采用文献研究法、专家咨询法和问卷调查法，了解医院医疗设备配置现状与存在的问题。应用EpiData建立数据库，并采用均数、标准差、构成比等对科室医疗设备配置现状进行描述性分析。在医疗设备的使用情况与人员配备情况、床位数、服务量等数据间进行相关性分析。结果44家样本医院中，共有24家配置了甲类医疗设备，涉及8种类型，总计43台；44家样本医院共配置乙类设备441台，涉及5种类型；样本医院希望加大力度配置的设备主要有核磁（77．27％）、CT（70．45％）、生化分析（68．18％）、普通放射（52．27％）和常规设备（54．55％）5种类型。调研设备与门急诊量及住院手术量之间存在正相关关系（P〈0．05）。结论医院应进一步建立健全设备配置管理制度，理顺配置流程，使用科学合理的配置方法，并可考虑通过设备共享、中心化管理、开展绩效考评等方法提高设备使用效率。Objective To learn the current deployment and problems of medical equipment at 44 hospitals directly under or managed by the NHFPC, studying the correlation between the number of equipment deployment, and amount of outpatients/inpatients and inpatient surgeries for recommendations on scientific and rational deployment of medical equipment. Methods Literature review, expert consultation and questionnaire survey methods were used to study the use and problems in hospital equipment deployment. EpiData was used to build a database, and the means, standard variations and constituent ratios were applied for descriptive analysis of medical equipment deployment of the hospital departments. The data of hospital equipment usage and staffing, hospital beds, and service volume were subject to correlation analysis. Results 24 of the 44 hospitals were deployed with class - A medical equipment, covering eight types and 43 devices; the 44 hospitals were deployed with 441 class- B equipment of five types; the equipment types in great demand at such hospitals were MRI （77.27%） , CT （70.45%） , bioanalysis devices （68.18%） , conventional radiation devices （52.27%） , and conventional equipments （54.55%）. The survey found a positive correlation （ P 〈 0.05 ） between the equipments, and the amount of outpatients/inpatients and inpatient surgeries. Conclusions Hospitals should further establish and improve their deployment management system, rationalize their deployment procedures, and use scientific and rational deployment. Such approaches as equipment sharing, centralized management and performance appraisal could be called into play to improve equipment efficiency.

关 键 词：委属医院 委管医院 医疗设备 配置 预算管理 

分 类 号：R197.32[医药卫生—卫生事业管理]