基于资产利用率评估模型的医疗设备管理改进策略效果分析  

Effect analysis of medical equipment management improvement strategy based on asset utilization evaluation model

作　　者：张洁[1] 张婧[2] 罗国芬 郭冠男 ZHANG Jie;ZHANG Jing;LUO Guo-fen(Asset Management Department,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medical,Shanghai 200092,China;不详)

机构地区：[1]上海交通大学医学院附属新华医院资产管理部,上海200092 [2]上海交通大学医学院附属仁济医院医学装备处,上海200127 [3]上海理工大学管理学院公共管理系,上海200093

出　　处：《中国医学装备》2023年第10期152-157,共6页China Medical Equipment

摘　　要：目的:探讨基于资产利用率评估模型的医疗设备管理改进策略效果。方法:医疗设备管理改进策略从设备临床使用和技术保障两方面制定资产利用率指标体系,采用灰色关联分析方法构建资产利用率评估模型,根据不同医疗设备资产利用率评估结果,对设备临床使用、技术保障和采购配置进行决策管理。选取医院临床在用的12 077台医疗设备,根据管理模式不同将其分为对照组(10 824台)和观察组(11 531台,包括对照组中的10 278台和新增加的1 253台),对照组采用传统的归口管理模式,观察组采用资产利用率评估模式,对比两组医疗设备的临床使用、技术保障和采购配置管理效果。结果:观察组设备开机率、成本效益增幅和社会效益增幅分别为(95.65±2.56)%、(7.76±3.22)%和(11.98±3.98)%,均高于对照组,而相对运转率和相对周转率分别为(8.92±3.14)%和(10.82±2.29)%,低于对照组,其差异有统计学意义(Z=2.115,Z=3.036,Z=3.264,Z=2.860,Z=2.144;P<0.05);观察组设备故障率为(0.86±0.58)%,低于对照组,而自修率、升级有效率和报废符合率分别为(94.51±3.53)%、(93.96±3.64)%和(92.34±4.52)%,均高于对照组,其差异有统计学意义(Z=2.863,Z=3.532,Z=2.749,Z=2.431;P<0.05);观察组医用电子仪器、手术急救设备、临床检验分析仪器和光学仪器及内窥镜采购的绩效目标完成率分别为(95.54±1.78)%、(97.04±1.62)%、(96.42±1.83)%和(95.81±2.71)%,均高于对照组,其差异有统计学意义(Z=2.353,Z=3.276,Z=3.707,Z=3.471;P<0.05)。结论:基于资产利用率评估模型的医疗设备管理改进策略能够改善医疗设备临床使用质量,提高医疗设备技术保障能力,提升医疗设备采购配置水平。Objective:To explore the application effect of improvement strategy of medical equipment management based on asset utilization evaluation model.Methods:The asset utilization index system was developed from the clinical use and technical support of equipment for medical equipment management improvement strategy,and the asset utilization evaluation model was constructed by using grey correlation analysis method.According to the evaluation results of asset utilization of various medical equipment,decision-making management of clinical use,technical support and procurement allocation of equipment were conducted.A total of 12,077 medical equipment in clinical use in hospitals were selected and divided into control group(10,824 sets)and observation group(11,531 sets,including 10,278 sets in the control group and 1,253 newly added)according to different management models.The control group adopted the traditional centralized management model,the observation group adopted asset utilization evaluation model.The effects of clinical use,technical support and procurement allocation management of the two groups of medical equipment were compared.Results:The equipment startup rate,cost-effectiveness increase and social benefit increase in the observation group were(95.65±2.56)%,(7.76±3.22)%and(11.98±3.98)%,respectively,which were higher than those in the control group,while the relative operation rate and relative turnover rate were(8.92±3.14)%and(10.82±2.29)%,respectively,which were lower those in the control group,the difference was statistically significant(Z=2.115,Z=3.036,Z=3.264,Z=2.860,Z=2.144;P<0.05).The equipment failure rate of the observation group was(0.86±0.58)%,which was lower than that of the control group,while the self-repair rate,upgrade efficiency rate and scrap qualification rate were(94.51±3.53)%,(93.96±3.64)%and(92.34±4.52)%,respectively,which higher than those of the control group,the difference was statistically significant(Z=2.863,Z=3.532,Z=2.749,Z=2.431;P<0.05).The performance target completion

关 键 词：资产利用率 评估模型 技术保障 故障维修 绩效目标 

分 类 号：R197.39[医药卫生—卫生事业管理]