Investigation And Evaluation Analysis Of Large-scale Medical Equipment In Grade Three Hospitals In Qiqihar

Objective:This paper analyzes the current situation of large-scale medical equipment in the third-level hospitals of Qihar City,analyzes the configuration status,equipment operators,benefits and medical equipment service efficiency of large-scale medical equipment in hospitals in the city,and masters the status of medical equipment in Qiqihar City.Scientific recommendations for unit follow-up planning and configuration,equipment operation and equipment supervision are of great significance for promoting the rational purchase and orderly management of medical equipment and promoting the economic and social benefits of hospitals.Method:The research object is 11 large-scale medical units equipped with large-scale medical equipment and large-scale equipments arranged in 10 hospitals in Qiqihar City in 2016.Questionnaire survey method was used to understand the current situation of the operation of the tertiary hospitals in Qiqihar City,the benefits of large-scale medical equipment,the basic configuration of equipment,the number and quality of equipment operators,and the efficiency of medical equipment services.The person who fills in the object is the person who manages the equipment.The investigation is mainly carried out by the responsible person of each agency department.Use Epidata3.1 to perform data double entry,use BMI SPSS24.0 statistical software for analysis,count data usage rate or composition ratio;measurement data conforming to normal distribution is represented by S,and t-test is used for comparison between groups;The distribution of the measurement data is expressed by M(P25,P75),and the rank comparison test is used for comparison between groups.Result:(1)Among the medical institutions,there are 28 CTs in total,and the average purchase price is 11.15 million yuan;the nuclear magnetic resonance has a total of 12 sets,the average purchase price is 1305.58 million yuan;the digital subtraction angiography X-ray machine is equipped with 12 sets.Purchased 6.025 million yuan;3 sets of medical electronic linear accelerators;3 sets of single photon emission computed tomography scanners;19 sets of DR systems,the average purchase of 2,606,800 yuan;7 sets of power frequency X-ray machines The average purchase of the station was 1,085,700 yuan;the trolley type B ultrasonic diagnostic apparatus was equipped with a total of 115 units,and the average purchase of the unit was 3,215,600 yuan;the external shock wave lithotripter was equipped with 2 units,and the average unit purchased 445,000 yuan;the hyperbaric oxygen chamber was configured.2 sets,the average purchase of 820,000 yuan;a total of 2 linear accelerators,the average purchase of 31.31 million yuan;(2)The largest equipment with the largest total income is CT,which is 248.55 million yuan,and the extracorporeal shock wave lithotripter is the least,which is 650,000 yuan.The average income of Taiwan is 127.575 million yuan,and the lowest frequency of power frequency X-ray machine is 101,400 yuan.The largest equipment with the largest total expenditure was CT,which was 147.93 million yuan,and the power frequency X-ray machine was the least,which was 460,000 yuan.Taiwan’s average expenditure on nuclear magnetic resonance is the most,at 769.70 million yuan,and the lowest power frequency X-ray machine is 65,700 yuan.The total net income,CT is up to 100.63 million yuan,and the extracorporeal shock wave lithotripter is the least,which is 142,000 yuan.The average net income of Taiwan is 506.08 million yuan for nuclear magnetic resonance and 35,700 yuan for power frequency X-ray machine.(3)The total number of CT equipment operations is up to 136,and the minimum number of extracorporeal shock wave lithotripters and linear accelerators is five.The average number of people operating on the platform was NMR,which was the minimum of 5.17 person-type B-type ultrasonic diagnostic instruments,which was 0.77.The average number of CT operations in the hospital was 12.36,and the extracorporeal shock wave lithotripter and linear accelerator were the least,at 0.45.A total of two hospitals have extracorporeal shock wave lithotripters,and the total proportion of equipment operators is 60%.All other types of equipment operators are certified to work;equipment operators of shock wave lithotripters have received training programs.The composition ratio is 0%,and all kinds of equipment operators in other hospitals have received training programs.(4)The number of medical equipment is the most equipped with the trolley type B ultrasonic diagnostic apparatus,the number of which is 115;the equipment with the highest positive detection rate is nuclear magnetic resonance,which is 90.79%;the equipment with the highest number of annual diagnosis and treatment is CT,299,844 person-times;the highest average number of times of annual diagnosis and treatment is 11187.58 person-times;the most time-averaged inspection time is the equipment single-photon emission type computed tomography device,which is 48 minutes;the device with the longest daily average boot time It is a DR system with a time of 11.33 hours;the device with the highest number of days of booting is a digital subtraction angiography X-ray machine,which is 336 days.(5)CT equipment: Compared with non-teaching hospitals,there was a statistically significant difference in the distribution of equipment revenue and expenditure(P<0.05).Teaching hospitals have higher incomes and expenditures than non-teaching hospitals.Compared with Third-grade Class-B Hospital,there was a statistically significant difference in the distribution of equipment purchases and the total number of equipment operators(P<0.05).The third-grade class-A hospital are higher than the third-grade class-B Hospital.Compared with third-grade class-B hospital,the difference between the number of annual diagnosis and treatment and the number of days of startup was statistically significant(P<0.05).The Third-grade Class-A hospitals are higher than the Third-grade Class-B Hospital.(6)Nuclear magnetic resonance equipment: Compared with private hospitals,public hospitals have no statistical difference in equipment efficiency,basic configuration status,number and quality of equipment operators,and equipment service efficiency compared with non-teaching hospitals.Significance(P>0.05)(7)Cart type B ultrasonic diagnostic equipment: Compared with the three hospitals,the public hospitals compared with the private hospitals,the teaching hospitals compared with the non-teaching hospitals,the distribution of equipment benefits are not statistically significant(P>0.05).Compared withthird-grade class-B hospital,there was a statistically significant difference in the number of large-scale instruments and the total number of equipment operators(P<0.05).All of the top three hospitals are higher than the three hospitals.Compared with third-grade class-B hospital,there was a statistically significant difference in the number of annual treatments between the top three hospitals(P<0.05).The number of people diagnosed and treated in the top three hospitals is higher than that of the three.This study discussed and analyzed the above results from four aspects:(1)Distribution of large medical equipment,(2)Large medical equipment operators,(3)Large medical equipment benefits,(4)Large medical equipment utilization And put forward corresponding countermeasures for these four aspects.Conclusion:(1)In terms of the basic configuration of medical equipment,the resources allocation of hospitals at all levels in Qiqihar City is not reasonable enough.(2)In terms of medical equipment operators,large-scale equipment personnel at all levels of hospitals in Qiqihar City have good operational literacy.(3)In terms of equipment efficiency of medical equipment,different large-scale medical equipment,NMR equipment has the highest efficiency,followed by CT and cart type B ultrasonic diagnostic equipment;In terms of utilization,the use of CT and cart type B ultrasonic diagnostic instruments failed to reach full load,and the annual utilization rate was relatively low.The utilization rate of nuclear magnetic resonance equipment in tertiary hospitals was close to full use.(4)In terms of service efficiency of large-scale medical equipment,for different medical equipment,the service efficiency of cart type B ultrasonic diagnostic equipment and CT is relatively high,and other equipments are relatively efficient.There is still much room for improvement in service efficiency.