Ibrahim H A, Kirsch A D
J Clin Eng. 1989 Jan-Feb;14(1):43-8. doi: 10.1097/00004669-198901000-00010.
The growing demand for more and better healthcare service greatly expands the role of medical equipment in providing health services more effectively. The purpose of introducing clinical engineering programs in hospitals was to improve the effectiveness of healthcare institutions' utilization and management of medical technology. Over the last decade, the role of clinical engineering has grown in importance as a component of hospitals and the healthcare delivery system. Hospital administrators currently put a strong emphasis on cost effectiveness of clinical engineering services, to reduce the cost of acquisition and maintenance of equipment. Unfortunately, the lack of a commonly accepted definition of cost effectiveness has resulted in a certain amount of confusion over how the performance of clinical engineering services can or should be measured. The results presented in this paper should assist hospital administrators and clinical engineering program managers to establish a common understanding of what "cost effectiveness" means and how it can be achieved.
对更多、更好的医疗保健服务日益增长的需求极大地扩展了医疗设备在更有效地提供健康服务方面的作用。在医院引入临床工程计划的目的是提高医疗机构对医疗技术的利用和管理效率。在过去十年中，临床工程作为医院和医疗服务提供系统的一个组成部分，其作用变得越来越重要。医院管理人员目前非常强调临床工程服务的成本效益，以降低设备购置和维护成本。不幸的是，由于缺乏对成本效益的普遍接受的定义，导致在如何衡量临床工程服务的绩效方面存在一定程度的混乱。本文给出的结果应有助于医院管理人员和临床工程计划管理人员就“成本效益”的含义以及如何实现成本效益达成共识。
