浦东新区区属公立医院三种大型医用设备效益分析

摘要

Objective To analyze the return on investment of 3 types of large medical equipments at Pudong's public hospitals in Shanghai.Methods Data on the numbers and purchasing expenditure, annual utilization headcounts, annual income and annual costs of the MRIs, CTs and DSAs were collected from these hospitals, and their breakeven points and recovery period were analyzed in the study. Results At these hospitals, CTs had relatively a higher return on investment in 2016, with 95 000 headcounts per hospital. At the interest rates of 1% , 3% and 5% , nine hospitals could recover their investment, at an average recovery period of 2.88 years, 3.23 years and 3.84 years respectively. That for DSS was poor. Conclusions These hospitals should improve the business performance of these equipments by means of rational purchase, enhanced utilization and sharing mechanism.%目的 分析上海市浦东新区区属公立医院3种大型医用设备的投入回收效益情况.方法 收集浦东新区区属公立医院2016年X线电子计算机断层扫描装置( CT)、医用核磁共振成像设备(MRI)、数字减影血管造影X线机(DSA)的配置数及各台设备的购置费、年利用人次数、年收入和年成本的相关数据,分析各医院上述3种大型医用设备的盈亏平衡利用量和投资回收年限.结果2016年浦东新区区属公立医院CT的投入回收效益较好,平均年利用人次数为9.50万人次/医院;在1% 、3% 、5%年利率的情况下, 9 所医院 CT总体投资均能实现回收,平均回收年限动态值分别为2.88年、3.23年、3.84年.而DSA的投入回收状况较差.结论 浦东新区区属公立医院需通过合理购买、加强利用管理、探索共享机制等,改善大型医用设备的使用效益.