辽宁省城乡各级医院国产CT配置现状分析

Investigation of the Current Situation of Domestic CT Among Different Levels of Hospitals in Liaoning Rural and Urban Areas

目的调查辽宁省各级医院CT的配置情况和分布特征。方法采用问卷调查的方法,对辽宁省585家医院的CT配置情况开展基线调查,计算城乡各级医院院均器械配置水平、配置结构,国产与进口设备配置水平、价格的比较以及变化趋势。结果辽宁省一、二、三级医院CT院均配置量分别为0.08、0.94和1.93台/院,院均配置城市显著高于农村(0.57台/院>0.30台/院)。16层CT配置比例最高(32.5%),农村(31.5%)和基层医院(58.8%)8层及以下配置比例较高。进口品牌市场占有率(89.6%)是国产品牌(10.4%)8.6倍,但差距呈缩小趋势。进口设备均价是国产设备2.2倍,2010年以后主要类别CT的进口/国产价格比为1.3~1.4。结论城乡及各级医院CT配置水平及结构存在显著差异。国产CT应继续抢占农村地区及基层医院的巨大市场空间,同时加强研发投入,优化产品结构。

Objective To investigate and analyze the current situation of CT allocation in Liaoningprovince.Methods CTs from585hospitals in Liaoning province were surveyed with designedquestionnaire.Allocation level,composition,comparison of domestic and imported devices on allocation,price and yearly changes of medical devices from three levels of hospitals in rural and urban areas werecalculated.Results On average,0.08,0.94and1.93CT per hospital were separately allocated in primary,secondary and tertiary hospitals in Liaoning.The amount of CT in urban hospitals(0.57per hospital)was more than the rural(0.30per hospital).16-layer CT with the highest amount accounted for32.5%for all CTs.8-layer and lower-level CTs separately accounted higher in rural area(31.5%)and in primaryhospitals(58.8%).The market share of imported brands(89.6%)was8.6times of the domestic brands(10.4%),but the gap was narrowing trend.The average price of the imported brands was2.2times of thedomestic.The ratio of imported-domestic price of the main categories of CTs varies from1.3~1.4after2010.Conclusion The level and composition of CT allocation in urban and rural areas and in differentlevel hospitals varied significantly.Domestic CT should continue seizing the huge market space in ruralareas and primary hospitals.Meanwhile,the R&D investment should be strengthened and the product mixshould be optimized.