Engineering Project Area, University CEU San Pablo , Madrid, Spain.
HM Hospitals Engineering Department, Madrid, Spain.
Expert Rev Med Devices. 2020 Aug;17(8):855-865. doi: 10.1080/17434440.2020.1796635. Epub 2020 Aug 4.
Electro-medical equipment generates a high impact on the sustainability of a hospital and require high availability at a reasonable maintenance cost. The aim of this paper is to analyze the sustainability and performance of the maintenance of electro-medical equipment, through several healthcare variables (hospital admissions, surgeries, consultations, etc.), infrastructure variables (surface area, number of beds, number of operating theaters, etc.), human resources and the acquisition value of the equipment, relating them to the labor, materials and total and operative maintenance costs.
4,586 electro-medical equipments were analyzed (grouped into 16 categories) installed in 12 Spanish hospitals of between 20 and 200 beds during the 2016-2018 period.
The results show that the maintenance costs of electro-medical equipment correlate with the number of beds and operating theaters, nursing staff, equipment acquisition value, number of admissions, surgeries and the total length of hospital stay.
Different equations are proposed to estimate maintenance costs based on the variables studied. They include indicators that give an overall view of maintenance operations.
医疗电子设备对医院的可持续性有重大影响，需要以合理的维护成本实现高可用性。本文旨在通过分析与维护医疗电子设备相关的几个医疗变量（住院人数、手术量、门诊量等）、基础设施变量（面积、床位数、手术室数量等）、人力资源和设备购置价值，研究医疗电子设备的可持续性和维护绩效，并将其与劳动力、材料以及总运营维护成本联系起来。
研究期间（2016-2018 年），对 12 家床位在 20 至 200 张之间的西班牙医院的 4586 台医疗电子设备（分为 16 类）进行了分析。
结果表明，医疗电子设备的维护成本与床位数和手术室数量、护理人员数量、设备购置价值、住院人数、手术量以及总住院时间有关。
本文提出了基于所研究变量来估算维护成本的不同方程，其中包括了提供维护操作总体情况的指标。
