当前医疗机构的医学装备数量快速上升,为医疗服务提供的全面支持和安全保障已凸现.该文借鉴三级医疗服务体系 中,由社区的"全科医生"来充当整个健康服务体系的分诊和成本控制的"守门人"角色的机制,提出了在由医院临床 工程师、厂家工程师和第三方工程技术力量共同组成的医学装备保障管理体系中,也应由医疗机构中的临床工程师来担 当医学装备维修管理的"守门人"的职责,进行装备保障质量和成本控制的把关.临床工程师应当担当"全科工程师" 的角色,更多关注在役医学装备的安全与健康.该文对全科工程师的职责和转型发展进行了探讨,呼吁加强"全科工程 师" 队伍的建设.%The quantity of medical equipment in hospital rise quickly recent year. It provides the comprehensive support to the clinical service. The maintenance of medical equipment becomes more important than before. It is necessary to study on the orientation and function of clinical engineer in medical equipment maintenance system. Refer to three grade health care system, the community doctors which is called General practitioner , play an important role as the gatekeeper of health care system to triage and cost control. The paper suggests that hospital clinical engineer should play similar role as the gatekeeper of medical equipment maintenance system which composed by hospital clinical engineer, manufacture engineer and third party engineer. The hospital clinical engineer should be responsible of guard a pass of medical equipment maintenance quality and cost control. As the gatekeeper, hospital clinical engineer should take the responsibility of "General engineer" and pay more attention to safety and health of medical equipment. The responsibility description and future transition?development of clinical engineer as "General Engineer" is discussed. More attention should be recommended to the team building of hospital clinical engineer as "General Engineer" .
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