中国医学装备2024，Vol.21Issue(5)：150-154,160,6.DOI:10.3969/j.issn.1672-8270.2024.05.029
分级诊疗下不同基层医疗卫生机构医疗器械使用与管理现况调查
Investigation on the use and management of medical devices in different primary medical and health institutions under hierarchical medical diagnosis and treatment
摘要
Abstract
Objective:To investigate the current status of the use and management of medical devices in various primary medical and health institutions under hierarchical medical diagnosis and treatment.Methods:A stratified random cluster sampling method was used to select 450 medical personnel from 50 township and urban primary medical and health institutions of Shijiazhuang from May to August 2023 and a questionnaire network survey on the use and management of medical devices was conducted,which covered 16 items across three dimensions including the use of commonly used medical devices in primary medical institutions,maintenance and quality control management.Results:A total of 450 questionnaires were distributed and 450 valid questionnaires were collected,including 239 from township primary level medical institutions and 211 from urban primary level ones.According to the results of 211 urban primary level questionnaires,the proportions of the training and examination carried out by the medical staff of urban grass-roots medical and health institutions prior to the use of medical devices,understanding parameters of medical devices and timely detection of malfunction of medical devices were 62.6%(132/211),77.7%(164/211)and 70.1%(148/211),respectively,which were higher than those at the township primary level,the difference was statistically significant(x2=17.750,29.649,22.384,P<0.05).The proportions of urban primary medical and health institutions with maintenance system,inspection and maintenance standards,regular calibration provisions,and equipment calibration standards were 64.0%(135/211),53.6%(112/211),55.9%(118/211)and 55.0%(116/211),respectively,which were higher than those of the township primary level,the difference was statistically significant(x2=5.834,34.728,6.004,25.540,P<0.05).The difference was not statistically significant between urban primary level and township primary level in each item of quality control management(P>0.05).Conclusion:Primary medical and health institutions were required to strengthen training and assessment before medical and health personnel use medical devices;improve related system and standards for medical device maintenance;formulate quality control management system for commonly used medical devices;strengthen analysis and discussion processes after quality control,and promote continuous improvement of medical device quality management.关键词
分级诊疗/基层医疗卫生机构/医疗器械/现况调查Key words
Hierarchical diagnosis and treatment/Primary medical and healthcare institution/Medical device/Current situation survey分类
医药卫生引用本文复制引用
赵伟,张秋军,刘文秀,陈芝,屈博涵,李贤..分级诊疗下不同基层医疗卫生机构医疗器械使用与管理现况调查[J].中国医学装备,2024,21(5):150-154,160,6.基金项目
河北省2023年度医学科学研究课题(20230012) Hebei Province 2023 annual medical science research topic(20230012) （20230012）
