四川省双流县镇级医疗单位医疗设备配置现状调查

A Status Survey on the Allocation of Medical Equipment of Township Medical Unit in Shuangliu County of Sichuan Province

目的调查四川省双流县镇级医疗单位医疗设备配置现状,为下一步探讨小康型乡镇卫生院医疗设备配置标准提供基线数据。方法根据国家关于乡镇卫生院医疗设备配置指导意见设计调查表,调查双流县24家镇级医疗单位(3家中心型卫生院、3家社区卫生服务中心及18家一般型卫生院),对调查结果进行描述性统计分析及分层分析。结果 3家中心卫生院现有设备配置均优于3家社区卫生服务中心,18家一般型卫生院现有设备配置低于3家社区卫生服务中心;24家镇级医疗单位急救设备如除颤仪、呼吸气囊、气管切开包配置情况较差;医疗计量设备年检率较低,2010年95.8%的镇级医疗单位共计127项医疗计量设备申报并接受年检,仅黑白B超、X光机二项设备总年检率在60%以上,血细胞分析仪、心电监护仪、生化仪总年检率介于50%～60%之间,尿液分析仪总年检率最低仅4.5%。结论镇级医疗单位急救设备配置亟待加强,应提高医疗计量设备年检率,保障医疗设备使用安全及仪器检测的准确度。

Objective To survey the present situation of medical equipment configuration of township hospitals in Shuangliu County,to provide baseline data for the next step of discussing the well-off township hospital medical equipment configuration standards.Methods According to the national guidance on device configuration in township hospitals,the questionnaire was made to survey 24 county township medical units（i.e.3 central township hospitals,3 community health centers,and 18 general township hospitals）.The descriptive and stratified analysis was performed for the survey results.Results The condition of medical equipment configuration in the 3 central hospitals was better than that in the 3 community health centers which was better than that in the 18 general hospitals.The emergency equipment configuration such as defibrillator units,breathing airbags,and tracheotomy package was poor.Annual inspection rate of medical metering equipment was lower than expectation.In 2010,a total of 127 medical measuring equipments from 98.5% of the township hospitals applied annual inspection,among which,only the total annual rate of black and white B ultrasonic and X-ray machine reached above 60%;the rate of blood cells analyzer,ECG monitoring instrument,and biochemical analyzer were between 50% to 60%;and the rate of urine analyzer was the lowest at 4.5%.Conclusion It is the right time to strengthen the first aid equipment configuration in township hospitals and to enhance the annual inspection rate of the medical measuring equipment,so that the safety use and accuracy detecting can be guaranteed.