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目的对2007年四川省各市州X线电子计算机断层扫描装置(CT)的成本效益情况进行分析,为卫生行政部门科学管理和合理配置该设备提供依据。方法通过计算现有CT的年利润率、净现值及设备的投资回收期,分析全省不同等级医疗机构CT的使用绩效。结果全省共有CT397台,每台设备年运营成本中位数为94.7万元,年业务收入中位数为100.0万元,纯收入中位数为10.4万元,利润率的中位数为14.6%,净现值中位数为66.7万元,回收年限中位数为2.8年。全省有39台(9.8%)设备无法在规定期限内收回投资,主要集中在二级医院和无等级医院。结论全省CT总体运营情况较好,但是部分二级医院和无等级医院成本回收较差,配置与医院现状和发展相适应规格的设备,采取措施降低CT运营成本和提高效益。
Objective To analyze the cost-effectiveness of X-ray computed tomography (CT) in all cities and prefectures of Sichuan Province in 2007 and provide the basis for the scientific administration and rational disposition of the equipment by health administrative departments. Methods By calculating the annual profit rate, net present value and equipment payback period of the existing CT, the performance of CT at different levels of medical institutions across the province was analyzed. Results A total of CT397 units were installed in the province, with a median annual operating cost per unit of 947,000 yuan, a median annual business income of 1 million yuan, a net income of 104,000 yuan and a median profit rate of 14.6 %, The median net present value of 667,000 yuan, the median recovery period of 2.8 years. 39 units (9.8%) in the province can not recover their investment within the stipulated time limit, mainly in second-class hospitals and non-class hospitals. Conclusion The overall operation of CT in the whole province is good, however, some secondary hospitals and non-level hospitals have poor recovery of costs. They are equipped with equipment that is compatible with the status quo and development of the hospital and take measures to reduce CT operation costs and increase benefits.