某三级甲等公立医院数字减影设备的成本效益分析

目的对公立医院数字减影血管造影(digital subtraction angiography,DSA)设备进行成本效益分析,结合社会效益评价,为设备采购和管理提供科学依据。方法采用投资回收期法、投资收益率法、量本利分析法和净现值法对数字减影设备进行成本效益分析,运用模糊数学法建模和指标评分法进行社会效益评价。结果公立医院数字减影设备包括DSA数字血管造影机、DSA全数字化平板探测器血管造影机、血管造影X线系统,其中:血管造影X线系统投资收益率最高为19.07%,投资回收期仅2.80年,运行效益评价为优秀;DSA全数字化平板探测器血管造影机A的经济指标最低,原因在于其业务量仅达保本工作量的83.91%,但其社会效益评分最高(C值为7.3)。结论公立医院在采购和管理数字减影等大型设备时需进行充分的成本效益分析论证,兼顾公立医院的公益性和科研属性,实行经济效益和社会效益双评价。

Research on Effective Access for Strengthening and Improving the Management and Benefit use of Large Instruments

The purchasement and development as well as the benefit of utilization for the large equipment in universities of China are analyzed in this paper, the paper in dicates that in utilization of large equipment the contradictions such as urgency and necessity for the purchasement and development of large equipment and serious waste in resources since inadequacy of annual utilization rate of large equipment are existed, it also raises that the key step of giving full play to the benefit of large equipment is to strengthen management and development after the equipment are purchased, the paper regards through stressing standardized management and maintenance、opening the laboratory、improving the functions of equipment、renovating technology、fully examining and scientifically deciding before purchasement, the investment benefit for the large equipment can be raised effectively.