首页> 外文会议>Institution of Engieering and Technology Seminar on Appropriate Healthcare Technologies for Developing Countries >POLICY AND MANAGEMENT OF MEDICAL DEVICES FOR THE PUBLIC HEALTH CARE SECTOR IN BENIN
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POLICY AND MANAGEMENT OF MEDICAL DEVICES FOR THE PUBLIC HEALTH CARE SECTOR IN BENIN

机译:贝宁公共卫生部门医疗设备的政策和管理

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Developing countries have very limited resources for procurement and management of medical devices. Usually, the resources that they do have, however, are not used in appropriate and optimal ways. Initial results of a study, supported by NUFFIC and conducted in Benin, are reported, identifying factors that adversely affect the healthcare technology management cycle of planning, budgeting, selection, procurement, distribution, installation, training, operation, maintenance and disposal of medical devices. Poor device management results in low overall community health effectiveness. with policy makers from the Ministries of Health and Finance and Economy, health facility managers, equipment users, maintenance technicians, managers of medical device companies and representatives of external support agencies. of insight of the government on medical device market prices; lacks of capacity to monitor reasonable prices from suppliers; lack of insight in the cost/performance ratio of various brands of medical devices; an unequal distribution of devices among health care facilities; an unbalanced allocation of resources for acquisition of devices; infrastructure, and maintenance. Other key factors included the insufficiency of human resources with appropriate capacity to manage the equipment, the unavailability of spare parts, and the lack of an annual maintenance budget. In a nutshell, the lack of good medical devices national policy and management practice essential equipment and of reference prices for the most widely used devices. The latter will allow health sector authorities to monitor financial diversion that may occur during procurement activities, while the former will serve as a reference to assess availability of fully operational devices at different health care facilities. The project aims to provide a basis for the development of basic legislation, empowering the Benin government to assure more cost-effective use of its resources for medical devices. For a variety of reasons, the potential benefits associated with the use of medical devices purchased for the public health care sector of Benin are not fully realized. To improve upon the current situation, the magnitude of the problem and its contributory causes should be examined more systematically. Existing tools, such as value-based pricing, development of an essential medical devices list and technology assessment may be used, but should be tailored to the specific context of the country. Participatory approaches are more likely to produce more sustained effects than simple regulations.
机译:发展中国家对医疗器械的采购和管理有限。通常,他们所做的资源不适合和最佳方式使用。据报道,努力和贝宁进行的研究的初始结果,据报道,识别对医疗设备的规划,预算,选择,采购,分配,安装,培训,操作,维护和处置的保健技术管理周期产生不利影响的因素。设备管理不佳导致整体社区健康效率低。通过卫生和财经和经济部委,卫生设施管理人员,设备用户,维护技术人员,医疗器械公司的经理以及外部支持机构代表的政策制定者。政府对医疗器械价格的洞察;缺乏监测供应商的合理价格的能力;缺乏各种品牌医疗器械的成本/绩效比例的洞察力;医疗保健设施之间的设备不均分配;收购设备的资源不平衡分配;基础设施和维护。其他关键因素包括以适当的能力管理设备,备件不可用的人力资源,缺乏年度维护预算。简而言之,缺乏良好的医疗器械国家政策和管理实践必备设备和最广泛使用的设备的参考价格。后者将允许卫生部门当局监控采购活动期间可能发生的财务转移,而前者将作为评估不同医疗设施的完全运营设备的可用性的参考。该项目旨在为基本立法提供基础,赋予贝宁政府能够确保更具成本效益的医疗器械资源。出于各种原因,没有充分实现与为公共卫生管理部门购买的医疗设备相关的潜在益处。为了提高目前的情况,应更系统地检查问题的大小及其贡献原因。可以使用现有的工具,例如基于价值的定价,开发必要的医疗设备列表和技术评估,但应根据国家的具体背景量身定制。参与式方法更有可能产生比简单的法规更持续的效果。

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