摘要
目的分析上海市主要的甲、乙类大型医用设备配置现状及公平性，并与全国和经济合作与发展组织（OECD）国家水平进行对比。方法通过上海市卫生和计划生育委员会现有资料、我国政府网站、相关研究报告以及OECD数据库，收集相关数据，采用基尼系数对设备配置公平性进行评价。结果2015年底，上海市甲类大型医用设备以及乙类大型医用设备中的x线电子计算机断层扫描装置（CT）、医用磁共振成像设备（MRI）、数字减影血管造影X线机（DSA），每百万人口配置量为1．325台以及7．95台、5．30台、3．8l台。除CT外，均要高于全国平均水平，但与OECD国家平均水平相比仍较低。此外，上海市乙类大型医用设备配置公平性优于甲类医用设备。结论上海市大型医用设备整体配置水平仍有待提高，且甲类大型医用设备配置公平性应予以关注。
Objective To analyze the allocation and equity of Class-A and Class-B large medical equipment in Shanghai, and to compare them with those in other parts of China and in other OECD countries. Methods The data of large medical equipments were collected from the Health and Family Planning Commission of Shanghai, government websites, relevant research reports and the database of OECD. Gene-coefficients were adopted to evaluate the equity of large equipment allocation. Results In terms of Class-A and Class B large equipments like CTs, MRIs and DSAs per million population, the number for Shanghai by the end of 2015, was 1. 325, 5.30, 2.13 and 3.81 units respectively. Except for CTs, this figure was higher than national average, yet lower than average of other OECD countries. In addition, the equity in allocation of Class-B large medical equipment was better than that of Class-A large medical equipment in Shanghai. Conclusions The overall deployment level of large medical equipments in Shanghai remains to be increased, and the equity in allocation of Class-A large medical equipment deserves more attention.
作者
熊琨
顾建钧
陈海涵
俞步青
廖兴斌
薛迪
Xiong Kun;Gu Jianjun;Chen Haihan;Yu Buqing;Liao Xingbin;Xue Di(School of Public Health,Fudan University,Key Lab of Health Technology Assessment,Ministry of Health,Shanghai 200032,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2018年第9期774-777,共4页
Chinese Journal of Hospital Administration
关键词
大型医用设备
配置
公平性
基尼系数
上海市
Large medical equipment
Deployment
Equity
Gini coefficient
Shanghai
作者简介
薛迪，Email：xuedi@shmu．edu．cn
