基于社会效益与经济效益的大型医疗设备成本效益分析

摘要

目的:探讨社会效益与经济效益计算方法,分析评价大型医学影像设备的绩效.方法:分析2014-2016年磁共振成像(MRI)、X射线计算机断层成像(CT)及数字X线摄影(DR)的数据,以设备在科研和教学任务的使用次数评价其社会效益.应用单机核算方法、投资报酬率法计算经济效益,综合评价大型医疗设备成本效益.结果:CT、MRI效益良好,总体效益稳步增长;DR总体效益下降,个别DR运行效益较差甚至亏损.针对效益不理想的设备,分析大型医疗设备的采购、使用及管理中的不足,提出持续改进方案和建议.结论:社会效益是承担科研和教学任务的医疗设备绩效重要组成部分,结合经济效益与社会效益综合评价对大型医疗设备成本效益分析具有重要意义.%Objective:To explore the calculation method for benefits of economy and society, and analyze and evaluate the performance of large medical imaging equipment.Methods: The data of magnetic resonance imaging (MRI), computed tomography (CT) and digital radiography (DR) during 2014-2016 were analyzed and the used frequency of equipment in research and teaching task was adopted to evaluate their social benefit. Accounting of single machine method and return on investment method were applied to calculate economic benefit. Finally, the benefit of large medical equipment was comprehensively and systematically evaluated.Results:The benefits of CT and MRI were good, and their overall benefit got steadily growth. While the overall benefit of DR was decline, even individual benefit of DR was loss. For these equipments whose benefits were not ideal, their disadvantages in purchasing, using and management process has been analyzed, and the continuous improvement and suggestion has been provided.Conclusion: Social benefits is an important part of the performance of large medical equipment used in research and teaching. The comprehensive assessment that economic benefits combines with social benefits has great significant for the cost-benefit analysis of large medical equipment.