基于目标与关键成果法的医疗设备效益评价探索与实践

Exploration and practice of benefit evaluation for medical equipments based on objectives and key results

为提高医疗设备精细化管理水平,更好地服务患者,探索能兼顾和体现多方需求的医疗设备效益评估方法。作者结合医院实践,介绍了基于目标与关键成果法(objectives and key results,OKR),构建以充分发挥医疗设备功能和作用为目标的效益评估体系,制定相应的考核指标和监督评价机制的探索。该指标体系能兼顾医院、使用科室、管理部门及患者4方的需求和关切,并能发挥过程监督和持续改进的效果。2018年至2019年,将OKR用于大型医用设备等的效益评价后,在检查例次、检查阳性率、临床服务能力、维护保障水平、患者满意度及科研学术等多个方面均有显著提升。使用基于OKR的理念和方法构建的医疗设备效益评估体系,可为医疗设备运行和管理提供有效评价指标,并依托过程监督和持续改进的方法保持内在提升的驱动力,为实现现代化医院医疗设备精细化管理水平的提升提供重要支撑手段,为患者提供更好医疗保障服务。

The study aims to improve the level of fine management of medical equipments,give full play to the functions and roles for better patient service,and explore methods for evaluating the benefits of medical equipment that can take into account and reflect the needs of multiple parties.Based on objectives and key results(OKR)methods and concepts,a benefit evaluation system was developed with the goal of giving full play to the functions and roles of medical equipments,with corresponding evaluation indexes and supervision and evaluation mechanisms formulated as well.This index system could take into account the needs and concerns of hospitals,the departments in use,the management authorities and patients at large,while contributing to process supervision and continuous improvement.In the OKR practice of large medical equipments(CT,MR)from 2018 to 2019,they had performed significantly better in inspections,inspection positive coincident rates,clinical service capabilities,maintenance assurance levels,patient satisfaction,scientific research and academics among others.The use of a medical equipment benefit evaluation system based on OKR concepts and methods can provide effective evaluation indicators for the operation and management of medical equipments.In addition,the system can maintain internal improvement momentum leveraging process supervision and continuous improvement methods,in order to assure the elevation of fine management level of medical equipments of modern hospitals,thus offering better medical services for patients at large.