Lu Qing
Xuzhou Central Hospital, Xuzhou 221009, P.R. China.
Iran J Public Health. 2020 Jan;49(1):37-45.
Continuously deeper reform of public hospitals has put forward the need to innovate the philosophy and system of large medical equipment operation and management, and the phenomenon featuring "more attention to purchasing and less attention to management" need to be turned around.
This research took use of information management to set up ID fields (unique number) for target stand-alone equipment; integrated statistics functions of HIS, PACS, LIS, RIS and equipment management system to get the basic operation data; informationized the work flow and reform technology to set up a post evaluation indictor system for the performance of stand-alone equipment; compared the service condition of newly purchased equipment with the feasibility application of relative department from various dimensions; designed objective post-evaluation indicators from various angles to scientifically manage existing medical equipment and support decision-making of new application for purchasing medical equipment.
Application performance of stand-alone equipment and clinical departments were ranked in a standardized manner. Decision-making mode based on data case of stand-alone equipment was set up. Net present value was evaluated. However, re-purchasing the instrument did not continuously increase the contribution of each instrument. The laboratory can purchase new instruments again, while the imaging department is not recommended to purchase.
The performance evaluation mechanism based on information construction for large stand-alone medical equipment and its support for decision-making of purchasing is of great significance to improve the service life of equipment, exert the maximum effect and reduce economic waste.
公立医院持续深化改革,提出了创新大型医疗设备运营管理理念和体制的需求,需要扭转“重购置、轻管理”的现象。
本研究利用信息管理为目标单机设备设置ID字段(唯一编号);整合医院信息系统(HIS)、医学影像存档与通信系统(PACS)、实验室信息管理系统(LIS)、放射信息系统(RIS)及设备管理系统的统计功能以获取基本运行数据;将工作流程信息化并改革技术,建立单机设备性能岗位评价指标体系;从多个维度比较新购置设备的使用状况与相关科室的可行性应用情况;从多个角度设计客观的岗位评价指标,以科学管理现有医疗设备并支持医疗设备采购新应用的决策。
对单机设备及临床科室的应用性能进行了标准化排名。建立了基于单机设备数据案例的决策模式。评估了净现值。然而,再次购置仪器并不会持续增加每台仪器的贡献。检验科可再次购置新仪器,而影像科则不建议购置。
基于信息化建设的大型单机医疗设备性能评价机制及其对采购决策的支持,对于提高设备使用寿命、发挥最大效益及减少经济浪费具有重要意义。