上海市浦东新区医疗设备配置及其对医疗服务的影响

Deployment of medical equipment and its impacts on medical services in Pudong New Area of Shanghai

目的研究浦东新区区属公立医院的医疗设备配置状况，分析医疗设备配置对医院医疗服务的影响。方法通过现有资料收集、公立医院调查和急性心肌梗死（AMI）住院病例调查，收集研究所需资料；并通过Gini系数、卡方检验和多元统计等，分析浦东新区区属公立医院医疗设备配置状况和对医疗服务的影响。结果浦东新区区属公立医院CT的配置数量（35台）和每百万常住人口的配置数（6．6台／百万人口）高于MRI和DSA，上海市CT配置在区域间的分布也比较平均（Gini系数为0.20），但是DSA配置的缺乏影响了公立综合性医院AMI住院患者的诊疗服务。结论我国公立医院和政府应平衡医疗服务的需求、医疗设备配置水平及社会、财政和医院的经济承受力。

Objectives To ana[yze the deployment of medical equipment and its impacts on medical services of hospitals. Methods Existing data collection, a survey of public hospitals and a chart review of acute myocardial infarction（AMI） inpatients were used to collect related data. Gini coefficients, Chi-square and multivariate model were used to analyze deployment of medical equipment and its impacts on medical services. Results The number of CTs and that of CTs per million population in Pudong new area were higher than those of MRIs and DSAs, and the distribution of CTs among districts in Shanghai was relatively equal（Gini coefficient was 0.20）. But lack of DSAs in some public general hospitals had affected the AMI inpatient care. Conclusions Public hospitals and governments in China should keep at a balance the demand of medical services, deployment level of medical equipment, and financial affordability for the society,governments and hospitals.