基于综合净现值的医院医疗设备成本效益分析及改进建议
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摘要
目的:以综合净现值数学模型NPVCB为方法评估医院医疗设备成本效益。方法:选择X线透视设备、超声设备、64排螺旋CT以及MRI各2台作为研究对象。每个月分别统计各设备使用次数,各设备检查所得费用及造影剂等附加收费、维修费。分别运用动态投资回收期法及NPVCB模型法进行计算并比较2种方法的优劣性,选择更符合实际的评估方法,比较综合净现值与各类型设备的相关性,进而得出投资额与收益额间的关系。结果:随着设备投资的增多,综合净现值逐渐下降,设备原值与综合净现值具有明显的负相关性(r=-0.917,P<0.05)。各设备的综合净现值效益为X线设备>彩超>CT>MRI。2016年度各设备的综合净现值效益较2015年均有大幅增长。结论:改良的NPVCB模型能够为医院设备投资与管理的决策提供更有力的依据。
Objective To evaluate the cost-effectiveness of hospital medical equipment by synthetic net present value(NPVCB). Methods X-ray equipment, ultrasound machine, 64-slice spiral CT and MRI(2 sets as one subject) were selected as the research object. Usage frequency, examination fee and additional charges were recorded. The advantages and disadvantages of dynamic investment recovery method and NPVCBwere compared. The correlations were compared between NPVCBand the subjects, and then the relationship was determined between the investment and income. Results The NPVCB declined gradually with increasing equipment investment, and there was a significant negative correlation between the equipment original value and NPVCB(r=-0.917, P<0.05). In terms of NPVCB, X-ray equipment behaved the best, MRI was the worst, and in the remained two ones color ultrasound machine gained advantages over CT. NPVCBrose greatly in 2016 when compared with that in 2015. Conclusion The improved NPVCBmodel lays a foundation for the decision-making of hospital equipment investment and management.
Objective To evaluate the cost-effectiveness of hospital medical equipment by synthetic net present value(NPVCB). Methods X-ray equipment, ultrasound machine, 64-slice spiral CT and MRI(2 sets as one subject) were selected as the research object. Usage frequency, examination fee and additional charges were recorded. The advantages and disadvantages of dynamic investment recovery method and NPVCBwere compared. The correlations were compared between NPVCBand the subjects, and then the relationship was determined between the investment and income. Results The NPVCB declined gradually with increasing equipment investment, and there was a significant negative correlation between the equipment original value and NPVCB(r=-0.917, P<0.05). In terms of NPVCB, X-ray equipment behaved the best, MRI was the worst, and in the remained two ones color ultrasound machine gained advantages over CT. NPVCBrose greatly in 2016 when compared with that in 2015. Conclusion The improved NPVCBmodel lays a foundation for the decision-making of hospital equipment investment and management.
引文
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[2]袁红静.强化医疗设备管理提高医院科学化管理水平[J].中国现代医生,2009,47(31):96-97.
[3]李云,王涵,王作涪,等.基于综合净现值的医疗设备成本效益分析[J].中国医疗设备,2017,32(6):156-158.
[4]钱明理,黄丹青.公立医院大型医疗设备绩效评估[J].解放军医院管理杂志,2012,19(5):424-427.
[5]戴钢.医院大型医疗设备成本效益分析系统的开发及研究[D].重庆:重庆大学,2005.
[6]李树丰.三甲等级评审中医疗设备的效益分析[J].中国医疗设备,2012,27(12):24-25.
[7]赵国杰,孙锡衡.基于动态投资回收期的投资决策准则研究[J].管理工程学报,2000,14(2):67-69.
[8]国家发展改革委建设部.建设项目经济评价方法与参数[M].北京:中国计划出版社,2006:4-6.
[9]李世俊,张楠,解迎刚,等.关于大型医疗设备经济效益分析系统的研究[J].医疗卫生装备,2009,30(2):17-20.
[10]王延忠.浅谈医疗设备的精细化管理[J].中国现代医学杂志,2013,23(19):110-112.
[11]王丽姿,陈通.投资回收期在医院设备投资决策中的应用分析[J].中国卫生经济,2006,25(9):69-70.
[12]米永巍,伍瑞昌,李怡勇,等.基于物联网的医疗设备管理体系结构和关键技术研究[J].医疗卫生装备,2016,37(3):33-36.
[13]史河水,郑金龙,韩萍,等.浅谈大型医疗检查设备的社会效益和经济效益[J].医学与社会,2002,15(2):63-64.
[14]冯琼.从购买大型医疗设备看医院社会效益和经济效益的关系[D].广州:中山大学,2005.