基于综合净现值的医院医疗设备成本效益分析及改进建议  

Hospital medical equipment cost-effectiveness analysis and improvements based on synthetic net present value

作　　者：沈玲丽 朱人杰 范璐敏 陈薇 SHEN Ling-li;ZHU Ren-jie;FAN Lu-min;CHEN Wei(Department of Operation Management, Shanghai East Hospital of Tongji University, Shanghai 200123, China)

机构地区：[1]同济大学附属东方医院运营管理部,上海200123

出　　处：《医疗卫生装备》2019年第2期71-74,108,共5页Chinese Medical Equipment Journal

基　　金：浦东新区卫生局卫生行业科研专项实施计划(PW2013E-1)

摘　　要：目的:以综合净现值数学模型NPVCB为方法评估医院医疗设备成本效益。方法:选择X线透视设备、超声设备、64排螺旋CT以及MRI各2台作为研究对象。每个月分别统计各设备使用次数,各设备检查所得费用及造影剂等附加收费、维修费。分别运用动态投资回收期法及NPVCB模型法进行计算并比较2种方法的优劣性,选择更符合实际的评估方法,比较综合净现值与各类型设备的相关性,进而得出投资额与收益额间的关系。结果:随着设备投资的增多,综合净现值逐渐下降,设备原值与综合净现值具有明显的负相关性(r=-0.917,P<0.05)。各设备的综合净现值效益为X线设备>彩超>CT>MRI。2016年度各设备的综合净现值效益较2015年均有大幅增长。结论:改良的NPVCB模型能够为医院设备投资与管理的决策提供更有力的依据。Objective To evaluate the cost-effectiveness of hospital medical equipment by synthetic net present value (NPVCB). Methods X-ray equipment, ultrasound machine, 64-slice spiral CT and MRI (2 sets as one subject) were selected as the research object. Usage frequency, examination fee and additional charges were recorded. The advantages and disadvantages of dynamic investment recovery method and NPVCB were compared. The correlations were compared between NPVCB and the subjects, and then the relationship was determined between the investment and income. Results The NPVCB declined gradually with increasing equipment investment, and there was a significant negative correlation between the equipment original value and NPVCB (r=-0.917, P<0.05). In terms of NPVCB, X-ray equipment behaved the best, MRI was the worst, and in the remained two ones color ultrasound machine gained advantages over CT. NPVCB rose greatly in 2016 when compared with that in 2015. Conclusion The improved NPVCB model lays a foundation for the decision-making of hospital equipment investment and management.

关 键 词：综合净现值 动态投资回收期法 医疗设备 成本效益 

分 类 号：R318[医药卫生—生物医学工程] R197.39[医药卫生—基础医学]