我国乙类大型医用设备配置、利用现状与政策建议

Study on the current situation of allocation and utilization of major medical equipment in China and relevant policy suggestions

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 situation of allocation and utilization of major medical equipment in China and make policy recommendations.Methods：Literature review and field survey methods were used to achieve the purpose.Results：The utilization of major medical equipment in the inpatients was higher than that in the outpatients.The service amount of CT was the biggest and service amount of major medical equipment decreased from east to west.Utilization efficiency varied among sample provinces（city）,and positive detection rate was generally high.Excessive use and under use coexisted.Macro distribution and utilization management need to be improved.Conclusion：The macro-governance policy on major medical equipment should be optimized during the new health system reform.Some mechanisms for major medical equipment should be developed and improved,including distribution,investment,monitoring and evaluation.