| 引用本文：卢建龙, 吕力琅, 曹志刚, 赵东阳, 应晓华.基于政府职能转变与市场发展效果的大型医用设备配置管理策略研究[J].中国卫生政策研究,2017,10(8):55-59 |
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| 基于政府职能转变与市场发展效果的大型医用设备配置管理策略研究 |
| 投稿时间：2017-03-14 修订日期：2017-04-01 PDF全文浏览 HTML全文浏览 |
| 卢建龙1,2, 吕力琅2, 曹志刚2, 赵东阳3, 应晓华1 |
1. 复旦大学公共卫生学院 上海 200032;
2. 复旦大学附属肿瘤医院 复旦大学上海医学院 上海 200032;
3. 山东大学第二医院 山东济南 250033 |
| 摘要:以当前政府职能转变中的政府与市场关系为视角，分析大型医用设备配置管理策略的发展过程，总结并预测管理趋势。研究发现我国大型设备配置管理发展可分为萌芽期、管理空窗期、成长期和转型期四个阶段；四个阶段的管理模式分别为质量管制为主的综合监管、市场主导、数量管制为主的综合监管、法律监管；萌芽期的监管明确了行业标准、培养了专业人才、管理效率较低；市场主导引发设备数量的迅猛增长、配置效率较低；成长期的数量监管规范了市场及设备合理使用；转型期的法律监管正在形成。现阶段医院缺乏合理配置大型设备的内在动力是导致市场失灵的主要因素；在法律框架下，采用配置许可的政府干预是未来一定时期内大型设备配置主要的管理方式。 |
| 关键词:大型医用设备 政府干预 数量管制 政府职能转化 配置许可 |
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| Access management strategy of large medical equipment based on the government function reform and market development effect |
| LU Jian-long1,2, LV Li-lang2, CAO Zhi-gang2, ZHAO Dong-yang3, YING Xiao-hua1 |
1. School of Public Health, Fudan University, Shanghai 200032, China;
2. Fudan University Shanghai Cancer Center, Shanghai Medical College of Fudan University, Shanghai 200032, China;
3. The Second Hospital of Shandong University, Jinan Shandong 250033, China |
| Abstract:Based on the relationship between government and market, this paper analyzed the development process of large medical equipment configuration management strategy, and forecasted the trend of management. It is found that the development process of large equipment management in China can be divided into four stages:sprouting stage, management window period, growth stage, and transition period. The management model of the four stages, respectively, are integrated management, market-oriented management, quantitative control-based comprehensive supervision, and legal supervision. As per the analysis of this work, it was found that the sprouting of the regulation of industry standards, training professionals, management efficiency are low; market-oriented led to rapid growth in the number of equipment, with a low configuration efficiency; growth period of the number of regulatory norms of the market and equipment is reasonable to use; and the legal supervision in transition is taking shape. Currently, the lack of rational allocation of large-scale equipment in the hospitals is the main factor leading to market failure. In the legal framework, the government intervention with configuration permits is the major large-scale equipment configuration management model in the future. |
| Key words:Large-Scale Medical Equipment Government Intervention Quantity Control Government Functions Reform Configuration Licensing |
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