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目的:分析现阶段我国大型医用设备配置与利用现状,并据此提出大型医用设备管理的政策建议。方法:采用现场调查和定性访谈的方法分析现阶段我国大型医用设备配置与利用现状。结果:大型医用设备在住院病人中利用比例较门急诊病人高,服务量以电子计算机X射线断层扫描技术(CT)最高,东、中、西地区服务量呈递减趋势。使用效率各省市差别较大,阳性检出率较高,利用不足与过度利用并存。宏观配置和利用管理仍存在一定问题。结论:必须优化新时期大型医用设备的宏观调控策略,建立健全有关大型医用设备配置与利用的各类机制,包括设备的配置机制、投入机制、监管机制和评估机制等。
OBJECTIVE: To analyze the current status of the configuration and utilization of large-scale medical equipment in our country at the present stage, and to put forward policy recommendations for the management of large-scale medical equipment. Methods: By means of on-the-spot investigation and qualitative interview, the current situation of the configuration and utilization of large-scale medical equipment in our country was analyzed. Results: Large medical equipment was used more frequently among inpatients than outpatients and emergency patients. The service volume was the highest by computerized tomography (CT), while the service volume in the eastern, central and western regions showed a decreasing trend. The efficiency of the use of large differences between provinces and cities, the positive detection rate higher, underutilization and over-utilization. Macro configuration and utilization management still have some problems. Conclusion: It is necessary to optimize the macro-control strategies of large-scale medical equipment in the new era and establish and improve various mechanisms for the configuration and utilization of large-scale medical equipment, including equipment configuration, investment, supervision and assessment mechanisms.