| 引用本文：刘佳琦,陈英耀.三种大型医用设备使用适宜性评价及分析[J].中国卫生政策研究,2013,6(2):40-43 |
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| 三种大型医用设备使用适宜性评价及分析 |
| 投稿时间：2012-06-12 修订日期：2013-01-19 PDF全文浏览 HTML全文浏览 |
| 刘佳琦1, 陈英耀1 |
| 复旦大学公共卫生学院 |
| 摘要:目的：分析样本医院大型医用设备利用适宜性水平，为我国大型医用设备合理使用提出建议。方法： 采用专家临床评价的方法，对现场调查获得的住院病例进行评阅。利用Epidata31进行数据录入，SPSS160进行统计描述和检验。结果： CT、MRI、DSA合理利用的比例分别为8647%、9049%和97%。其中，CT利用不足和过度利用的比例分别为930%和423%，MRI分别为889%和062%，DSA不合理利用的病例均为利用不足。Logistic回归显示患者年龄和就诊科室对设备利用的适宜性有一定影响。结论： 大型医用设备的使用总体适宜，供方因素导致的不合理利用较明显。卫生行政部门应制定合理的评价标准，科学评价大型医用设备使用的适宜性。 |
| 关键词:大型医用设备 适宜性 专家临床评价 |
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| Assessment and analysis for appropriateness of three major medical equipment |
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| Abstract:Objective: By analyzing the utilization of major medical equipment in sample hospitals, this paper aims to provide recommendations for the appropriate use of major medical equipment in China. Methods: The sample inpatient medical records were obtained by field investigation, and were evaluated by experts according to the principle of clinical audit. Epidata3.1 was used for data input and SPSS16.0 for statistical analysis. Results: 86.47%, 90.49% and 97% of CT, MRI and DSA, respectively, were used appropriately. The overuse rate of CT was 4.23% while the underuse rate was 9.30%. MRI had an underuse rate of 8.89% while the overuse rate was 0.62%. All inappropriate cases for DSA usage were underuse. Logistic regression showed that the patients’ age and department had a certain influence on the appropriate use of equipment. Conclusion: In general, the usage of major medical equipment was appropriate and issues with the providers was an important reason for inappropriate use. Health administrative departments should make reasonable criteria for evaluating the appropriate use of major medical equipment. |
| Key words:Major medical equipment Appropriateness Clinical audit |
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