西藏阿里地区公立医疗机构医学装备管理现状问题调查(1)
摘 要：目的 确定和评估西藏阿里地区公立医疗机构医学装备管理所面临的主要问题，为医院提高医疗设备管理质量提出建议。方法 本研究基于医疗设备管理理论，在阿里地区各级公立医疗机构包含地区人民医院、地区藏医院、各县卫生服务中心(含县医院、妇幼保健院、藏医院、疾控中心)进行问卷调查及半结构化访谈。结果 本研究最终收集了164份有效问卷，进行13次半结构化访谈。其中阿里地区医院84.97%的相关工作人员表示，该系统医学装备管理失败在于组织机构不完善和相关技术人员理论知识不熟练。虽然医院管理者认识到这些问题，但由于人才缺乏和资金等限制不能很好地解决这些问题。结论 经济欠发达地区医院应制度和技术并重，探析哪些问题最服务于医学装备管理的长久发展，而有效的医学装备管理有利于提升医院的医疗水平，从而为患者提供更好的服务。
关键词：医疗技术管理；西藏；现状；挑战
中图分类号：R194.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.22.036
文章编号：1006-1959(2018)22-0127-03
Investigation on the Current Situation of Medical Equipment Management in Public Medical Institutions in Ali Region of Tibet
WEI Jian-hua1，BAI Ya-lin1，YU Yong2
(1.Equipment Supply Division，the First Affilicated Hospital of Xi'an Medical University，Xi'an 710077，Shaanxi，China；
2.Office of the President of Shaanxi Provincial People's Hospital，Xi'an 710068，Shaanxi，China)
Abstract：Objective To determine and evaluate the main problems in the management of medical equipment in public medical ins-titutions in Ali region， Tibet， and to put forward some suggestions for improving the quality of medical equipment management in hos-pitals.Methods Based on medical equipment management theory，we carried out questionnaire survey and semi-structured interview in the public medical institutions at all levels in Ali region include district people's hospital， regional Tibetan hospital， county health service center (including county hospital， maternal and child health hospital， Tibetan hospital， disease control center).Results 164 va-lid questionnaires were collected and 13 semi-structured interviews were conducted.Among them， 84.97% of the related staff in the Ali region hospital said that the failure of the medical equipment management of the system lies in the imperfect organization and the un-skilled theoretical knowledge of the related technicians.Although hospital administrators are aware of these problems， these problems can not be solved well because of the lack of talents and funds.Conclusion Hospitals in economically underdeveloped areas should pay equal attention to both system and technology， and explore which problems serve the long-term development of medical equipm-ent management， and effective medical equipment management is beneficial to improve the medical level of hospitals. In order to pro-vide better services for patients.
Key words：Medical technology management；Tibet；Current situation；Challenge
醫疗设备管理(medical technology management)是对医疗器械的使用、设备性能以及维护进行管理，从而掌握设备状态，使其发挥更好的效能[1]。有效的医学装备管理技术是医疗系统的关键组成部分，能够极大提高医疗专业人员预防、诊断和治疗疾病的水平[2]。然而，如西藏等许多欠发达地区由于此学科的缺乏或不完善，导致医院医学装备管理面临许多难题。许多医疗机构，设备短缺、设备不工作、误用或使用不当较为常见，此情况在偏远地区的医疗机构的情况最为严重。这对疾病的预防和治疗影响深远，并通常会导致经济损失。国外研究发现[3]，很多撒哈拉以南非洲国家和其他贫穷国家的医疗设备管理是无效的，究其原因主要在于尽管许多财政资源被用来购买设备，但对其的管理却没有给予足够重视，出现理论知识不普及和实践经验不足的问题。本研究旨在通过调查西藏阿里地区公立医疗机相关负责医师和技师的看法，来阐明此地区医疗设备管理面临的问题。, http://www.100md.com(魏建华 白亚林 于勇)
关键词：医疗技术管理；西藏；现状；挑战
中图分类号：R194.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.22.036
文章编号：1006-1959(2018)22-0127-03
Investigation on the Current Situation of Medical Equipment Management in Public Medical Institutions in Ali Region of Tibet
WEI Jian-hua1，BAI Ya-lin1，YU Yong2
(1.Equipment Supply Division，the First Affilicated Hospital of Xi'an Medical University，Xi'an 710077，Shaanxi，China；
2.Office of the President of Shaanxi Provincial People's Hospital，Xi'an 710068，Shaanxi，China)
Abstract：Objective To determine and evaluate the main problems in the management of medical equipment in public medical ins-titutions in Ali region， Tibet， and to put forward some suggestions for improving the quality of medical equipment management in hos-pitals.Methods Based on medical equipment management theory，we carried out questionnaire survey and semi-structured interview in the public medical institutions at all levels in Ali region include district people's hospital， regional Tibetan hospital， county health service center (including county hospital， maternal and child health hospital， Tibetan hospital， disease control center).Results 164 va-lid questionnaires were collected and 13 semi-structured interviews were conducted.Among them， 84.97% of the related staff in the Ali region hospital said that the failure of the medical equipment management of the system lies in the imperfect organization and the un-skilled theoretical knowledge of the related technicians.Although hospital administrators are aware of these problems， these problems can not be solved well because of the lack of talents and funds.Conclusion Hospitals in economically underdeveloped areas should pay equal attention to both system and technology， and explore which problems serve the long-term development of medical equipm-ent management， and effective medical equipment management is beneficial to improve the medical level of hospitals. In order to pro-vide better services for patients.
Key words：Medical technology management；Tibet；Current situation；Challenge
醫疗设备管理(medical technology management)是对医疗器械的使用、设备性能以及维护进行管理，从而掌握设备状态，使其发挥更好的效能[1]。有效的医学装备管理技术是医疗系统的关键组成部分，能够极大提高医疗专业人员预防、诊断和治疗疾病的水平[2]。然而，如西藏等许多欠发达地区由于此学科的缺乏或不完善，导致医院医学装备管理面临许多难题。许多医疗机构，设备短缺、设备不工作、误用或使用不当较为常见，此情况在偏远地区的医疗机构的情况最为严重。这对疾病的预防和治疗影响深远，并通常会导致经济损失。国外研究发现[3]，很多撒哈拉以南非洲国家和其他贫穷国家的医疗设备管理是无效的，究其原因主要在于尽管许多财政资源被用来购买设备，但对其的管理却没有给予足够重视，出现理论知识不普及和实践经验不足的问题。本研究旨在通过调查西藏阿里地区公立医疗机相关负责医师和技师的看法，来阐明此地区医疗设备管理面临的问题。, http://www.100md.com(魏建华 白亚林 于勇)