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引用本文:芮天奇, 陈功正, 黄文婧, 张治国, 沈丽宁.我国省级大型医用设备配置规划政策比较研究[J].中国卫生政策研究,2022,15(11):32-38
我国省级大型医用设备配置规划政策比较研究
投稿时间:2022-07-24  修订日期:2022-10-23  PDF全文浏览  HTML全文浏览
芮天奇1, 陈功正1, 黄文婧1, 张治国1,2, 沈丽宁1,2
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省卫生技术评估研究中心 湖北武汉 430030
摘要:目的:分析省级大型医用设备配置规划数量与相关政策文本,为各地区制定配置数量预测方法与指标透明、配置准入要求明确的大型医用设备配置规划政策提供参考。方法:本研究基于全国2018—2020年大型医用设备配置规划数据,比较分析各类大型医用设备配置规划总体数量以及我国不同区域规划配置数量的变化。并选取样本地区对其相关文件进行比较分析。结果:我国大型医用设备配置规划数量调整前后波动较大,调整后配置规划量增长迅速。样本地区的规划文件在总体目标、主要原则、指导思想、数量布局与机构配置准入标准等结构构成上较为一致,但部分内容具体描述相差较大。结论:各地区在制定大型医用设备配置规划时需要统筹考虑区域布局,发挥自身优势;明确预测理论与方法,提高预测透明度;机构配置准入标准应综合考虑区域及医疗机构定位与能力;提高数据安全保障能力,提升国产医用设备配置比例。
关键词:大型医用设备  配置规划  政策分析  配置准入  使用管理
基金项目:湖北省健康医疗大数据中心暨公共卫生应急管理平台建设项目标准规范制定项目(HBZZ-2021035-F21035);2021年医用设备绩效评价服务及珠海市大型医用设备区域配置“十四五”规划项目(ZHWZ2021-447FW)
Comparative analysis of current statusand planning policies for allocation of large medical equipment at provincial level in China
RUI Tian-qi1, CHEN Gong-zheng1, HUANG Wen-jing1, ZHANG Zhi-guo1,2, SHEN Li-ning1,2
1. School of Medicine and Health Management, Tongji Medical College of HUST, Wuhan Hubei 430030, China;
2. Health Technology Assessment Research Center of Hubei Province, Wuhan Hubei 430030, China
Abstract:Objective: Analyze the number and relevant policy text of provincial large-scale medical equipment configuration planning, and provide reference for each region to formulate large-scale medical equipment configuration planning policies with transparent prediction methods and indicators of configuration number and clear configuration access requirements. Methods: Based on the national 2018-2020 large-scale medical equipment configuration planning data, this study compares and analyzes the overall number of various large-scale medical equipment allocation plans before and after the adjustment of the large medical equipment allocation plan, and the change of the planned allocation number in different regions of China. And select sample regions to compare and analyze their relevant documents. Results: The number of large-scale medical equipment configuration planning in China fluctuates greatly before and after adjustment, and the number of adjusted configuration planning increases rapidly. The structure of sample areas' planning documents is relatively consistent in terms of overall objectives, main principles, guiding ideology, quantity distribution and institutional allocation access standards, but the description of some contents is quite different. Conclusion: Each region needs to consider its regional layout and utilize its own advantages while making plans for allocating large medical equipment; theories and methods applied in making predictions need to be clarified to make the process transparent; criteria for acceptance of institutional allocation need to take status and capacity of regions into consideration; data security needs to be improved and proportion of domestic medical equipment in allocation needs to be improved.
Key words:Large medical equipment  Allocation planning  policy analysis  Admission of allocation  Utilization management
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