Trevisanuto Daniele, Raggi Roberto, Bavuusuren Bayasgalantai, Tudevdorj Erkhembaatar, Doglioni Nicoletta, Zanardo Vincenzo
Pediatric Department, Medical School, University of Padua, Azienda Ospedaliera Padova, Padua, Italy.
J Matern Fetal Neonatal Med. 2011 Feb;24(2):234-8. doi: 10.3109/14767058.2010.482611. Epub 2010 Sep 14.
To assess whether investments for medical equipments assigned by a team of experts to a mother and child health hospital located in Mongolia were correlated with structural, organizational, and educational level of its services/departments.
A score was used for evaluating the level of each service/department. It was based on a 'structural area' and an 'organizational and educational area'. Destination of funds was determined by a team of experts in collaboration with the head of the service/department.
Thirty-three of 36 services/departments (91.6%) were evaluated. A total sum of 4,432,140 Euros to invest in medical equipment was estimated. Assigned investments were inversely correlated with the total (structural plus organizational and educational area) score (n = 33; r = -0.59; p = 0.0002), and the specific scores for structural area (n = 33; r = -0.46; p = 0.005) and organizational and educational area (n = 33; r = -0.56; p = 0.0006).
A large part of the funds for medical equipment was destined to services/departments with low organizational and educational conditions, limiting the potential effect of the aid meanwhile supporting the most in need departments. Educational efforts and monitoring of specific long-term indicators are mandatory.
评估由一组专家分配给蒙古一家妇幼保健院的医疗设备投资是否与其服务/科室的结构、组织和教育水平相关。
使用一个分数来评估每个服务/科室的水平。它基于一个“结构领域”和一个“组织与教育领域”。资金的去向由一组专家与服务/科室负责人合作确定。
对36个服务/科室中的33个（91.6%）进行了评估。估计用于投资医疗设备的资金总额为4432140欧元。分配的投资与总得分（结构得分加上组织与教育领域得分）（n = 33；r = -0.59；p = 0.0002）、结构领域的具体得分（n = 33；r = -0.46；p = 0.005）以及组织与教育领域的得分（n = 33；r = -0.56；p = 0.0006）呈负相关。
大部分医疗设备资金被分配到组织和教育条件较差的服务/科室，这在支持最需要的科室的同时，限制了援助的潜在效果。必须开展教育工作并监测具体的长期指标。
