国内外大型医用设备管理体制比较及发展趋势研究.pdfVIP

国内外大型医用设备管理体制比较及发展趋势研究 钱英 （南京医科大学第一附属医院，江苏南京 210029 ） 摘要：从规划布局、设备配置、使用效率以及质量控制等方面出发，对我国大型医用设备管 理现状加以阐述。对比国外大型医用设备管理体制，分别从卫生技术评估、科学规划、配置 及质量控制等 8 个方面介绍国外大型医用设备管理的经验与措施。基于上述比较，从开展卫 生技术评估、融资租赁、集中采购、改造升级、建立和完善质量控制体系等多个方面探讨大 型医用设备管理发展趋势，为改进和完善大型医用设备管理体制提供参考。 关键词：大型医用设备；管理体制；卫生技术评估；质量控制；发展趋势 Study on Comparison of Management System and Development Tendency for Large Medical Equipment in China and Overseas QIAN Ying (The First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu 210029, China) Abstract: The management status of large medical equipment in China is introduced in these following four aspects: planning and layout, hardware collocation, availability factor and quality control. The experience and measures of management system for large medical equipment in overseas were introduced from these eight aspects as follows: health technology assessment, scientific planning, collocation, quality control and so on. Based on this comparison, this paper raises several development trends of large medical equipment from these aspects, such as health technology assessment, financial leasing, centralized purchasing, modify and upgrade, establish and consummate the system of quality control and so on. It can provide reference opinions to improve the manage level of large medical equipment. Key words: large medical equipment; management system; health technology assessment; quality control; development tendency 引言 大型医用设备技术手段先进，不仅可以处理某些常规医疗设备难以诊断和治疗的疾病， 而且可作为科研设备对疾病作前沿的研究，丰富诊疗手段，促进医学的发展。对不同规模和 档次的医疗机构来说，大型医用设备的定义和感受也不尽相同，但是这类设备共同点都是资 金投入大、运营成本高，操作和使用方法精细，维护费用不菲。 1 国内大型医用设备管理情况简介 1.1 我国大型医用设备定义 大型医用设备是指列入国务院卫生行政部门管理品目的医用设备以及尚未列入管理品 目，省级区域内首次配置的单价在500 万元人民币以上的医用设备。大型医用设备管理品目 分为甲、