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综合医院的医疗设备管理:埃塞俄比亚中部西南绍阿地区图卢博洛综合医院的经验

Medical Equipment Management in General Hospitals: Experience of Tulu Bolo General Hospital, South West Shoa Zone, Central Ethiopia.

作者信息

Kabeta Sirnan Humnesa, Chala Temesgen Kabeta, Tafese Fikru

机构信息

Oromia Regional Health Bureau, Finfinne, Ethiopia.

Health Policy and Management Department, Jimma University, Jimma, Ethiopia.

出版信息

Med Devices (Auckl). 2023 Mar 17;16:57-70. doi: 10.2147/MDER.S398933. eCollection 2023.

Abstract

BACKGROUND

Medical equipment are vital items to deliver quality services in health facilities and the role of medical equipment is a well-founded reality. It is mainly used in many diverse settings in hospitals to diagnose, treat illnesses; support disabled and intervened acute and chronic cases. Effective maintenance and proper management are major utilization issues to provide quality services while saving scarce resources. However, managing medical equipment, especially, the utilization phase of medical equipment, was not well studied in this general hospital.

OBJECTIVE

This study aims to assess the utilization of medical devices in Tulu Bolo General Hospital.

METHODS

The study was conducted from December 25, 2021 to February 9, 2022. Data sources included health professionals and document archives in the hospital. Data collection method includes questionnaires and observations checklists. A census of 165 health workers was conducted, with a response rate 94.5%. Data was entered into epi-data; version 3.1, then analyzed by SPSS version 23 and presented using descriptive statistics.

RESULTS

Procurement, storage, and utilization were found to be 53.47%, 56.57%, and 45.88%, respectively. Only 114 (57.3%) of the 199 pieces of medical equipment discovered were functional. Pearson correlation indicated that procurement and utilization of medical equipment are related to a higher proportion of non-functional devices (P = 0.000, B1 = 1.47, OR = 4.349, and CI 95% = 2.047-9.241) and nonfunctional medical equipment (B2 = 0.790, OR = 2.203, and CI 95% = 1.065-4.556) for procurement and utilization, respectively.

CONCLUSION

Procurement, storage, and utilization of available medical equipment in Tulu Bolo Hospital were low. While health sectors operating in a resource-limited were assumed to have a big shortage of medical technologies, procurement, storage, and utilization of the limited available medical equipment need the attention of health program managers.

摘要

背景

医疗设备是医疗机构提供优质服务的关键物品,其作用是确凿无疑的现实。它主要用于医院的多种不同场景,以诊断、治疗疾病;支持残疾患者并干预急慢性病例。有效的维护和妥善的管理是在节省稀缺资源的同时提供优质服务的主要使用问题。然而,在这家综合医院中,对医疗设备的管理,尤其是医疗设备的使用阶段,研究并不充分。

目的

本研究旨在评估图卢博洛综合医院医疗设备的使用情况。

方法

研究于2021年12月25日至2022年2月9日进行。数据来源包括医院的卫生专业人员和文档档案。数据收集方法包括问卷调查和观察清单。对165名卫生工作者进行了普查,回复率为94.5%。数据录入Epi-Data 3.1版本,然后用SPSS 23版本进行分析,并使用描述性统计进行呈现。

结果

发现采购、存储和使用比例分别为53.47%、56.57%和45.88%。在发现的199件医疗设备中,只有114件(57.3%)能正常使用。皮尔逊相关性表明,医疗设备的采购和使用与较高比例的无法正常使用的设备有关,采购方面(P = 0.000,B1 = 1.47,OR = 4.349,95%置信区间 = 2.047 - 9.241),使用方面(B2 = 0.790,OR = 2.203,95%置信区间 = 1.065 - 4.556)。

结论

图卢博洛医院现有医疗设备的采购、存储和使用比例较低。虽然在资源有限的情况下运营的卫生部门被认为严重缺乏医疗技术,但有限可用医疗设备的采购、存储和使用需要卫生项目管理者的关注。

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