辽宁省基层医疗机构国产医疗器械配置现状及障碍因素的现象学研究
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摘要
目的:分析辽宁省基层医疗机构医疗器械配置情况和国产医疗器械配置的障碍因素,为国产创新诊疗器械配置政策的制定提供科学依据。方法:采用质性研究中现象学的研究方法,对辽宁省9个地区的卫生和计划生育局及二级医疗机构从事医疗器械管理的27人进行半结构化访谈。结果:国产器械在基层医疗机构配置呈两极分化,即大型设备被进口品牌占据,小型设备被国产品牌占据。小型国产器械在基层医疗机构配置障碍较小,而大型国产医疗器械在基层医疗机构配置障碍较大,主要是国产医疗器械质量参差不齐、政府审批程序复杂、医疗机构与设备生产企业缺乏有效沟通,以及设备采购部门与国产器械厂商存在信息不对称的情况。结论:应从国产医疗器械企业提高产品性能、政府部门精简审批程序以及医疗机构加强与企业有效沟通三方共同作用,解决国产医疗器械在基层医疗机构配置的障碍问题,推动国产医疗器械在基层医疗机构的配置。
Objective: To understand the situation of the configuration of medical devices and the obstacle factors of the configuration of domestic medical devices in primary medical institutions of Liaoning province so as to provide scientific basis for the formulation of configuration policy of domestic innovative medical device. Methods: Using the phenomenological method of qualitative research to implement semi-structured interview for 27 persons, whose work were management for medical devices, of health and family plan bureaus and the second grade medical institutions in9 regions. Results: The configuration of domestic devices showed polarization in primary medical institutions, that was, large scale equipments were occupied by imported brands, and small scale equipments were occupied by domestic brands. The configuration obstacles of small scale domestic medical appliances were smaller in primary medical institutions, and these of large scale domestic medical equipments were larger. It was mainly due to the uneven quality of domestic medical devices, complicated government approval procedures, lack of effective communication between medical institutions and equipment manufacturers, and information asymmetry between equipment procurement departments and domestic device manufacturers. Conclusion: Domestic medical device enterprises should improve product performance, and government departments should simplify approval procedures, and medical institutions should strengthen effective communication with enterprises, and the three parties should work together to solve the obstacles in the configuration of domestic medical devices in primary medical institutions so as to promote the configuration of domestic medical devices in primary medical institutions.
Objective: To understand the situation of the configuration of medical devices and the obstacle factors of the configuration of domestic medical devices in primary medical institutions of Liaoning province so as to provide scientific basis for the formulation of configuration policy of domestic innovative medical device. Methods: Using the phenomenological method of qualitative research to implement semi-structured interview for 27 persons, whose work were management for medical devices, of health and family plan bureaus and the second grade medical institutions in9 regions. Results: The configuration of domestic devices showed polarization in primary medical institutions, that was, large scale equipments were occupied by imported brands, and small scale equipments were occupied by domestic brands. The configuration obstacles of small scale domestic medical appliances were smaller in primary medical institutions, and these of large scale domestic medical equipments were larger. It was mainly due to the uneven quality of domestic medical devices, complicated government approval procedures, lack of effective communication between medical institutions and equipment manufacturers, and information asymmetry between equipment procurement departments and domestic device manufacturers. Conclusion: Domestic medical device enterprises should improve product performance, and government departments should simplify approval procedures, and medical institutions should strengthen effective communication with enterprises, and the three parties should work together to solve the obstacles in the configuration of domestic medical devices in primary medical institutions so as to promote the configuration of domestic medical devices in primary medical institutions.
引文
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[12]张凯.当前医疗器械采购中存在的问题及应对策略[J].医疗装备,2018,31(20):53-54.
[13]郭丽娟,崔立刚,王金锐,等.彩色多普勒超声诊断设备临床应用综合评价研究[J].中国医学装备,2018,15(11):35-39.
[14]王强,王琦,许允发,等.Neusoft NeuViz 128 CT诊断颅内动脉瘤的价值[J].中国中西医结合影像学杂志,2018,16(2):172-173.
[2]中国医学装备协会.中国医学装备发展状况与趋势2018[EB/OL].[2018-11-05].http://www.yxzb.org.cn/article/articleDetail.html?id=1048.
[3]国务院.中国制造2025:国发[2015]28号[S].国务院,2015-05-19.
[4]贾雅雯."健康中国2030"规划纲要初探[J].中文信息,2018(12):264.
[5]孙晓娥.深度访谈研究方法的实证论析[J].西安交通大学学报(社会科学版),2012,32(3):101-106.
[6]李爽,礼彦侠,李梦丹,等.辽宁省城乡各级医院国产医疗器械配置现状调查[J].中国医疗设备,2017,32(7):1-5,55.
[7]刘晓征.基层医疗卫生机构一体化诊断设备配置需求分析[J].中国医学装备,2014,11(10):59-61.
[8]褚淑贞,王恩楠,都兰娜.我国医疗器械产业发展现状、问题及对策[J].中国医药工业杂志,2017,48(6):930-935.
[9]李斌,汪黎君,曹厚德,等.基于上海市场十年调查数据看医疗设备“中国制造”的提升[J].中国医疗设备,2018,33(2):23-26.
[10]潘慧.推进实施广东省创新医疗器械产品应用示范工程的对策建议[J].机械设计与制造工程,2015,44(4):1-4.
[11]徐喆.医院医疗器械设备维修及管理研究[J].设备管理与维修,2017(14):16-17.
[12]张凯.当前医疗器械采购中存在的问题及应对策略[J].医疗装备,2018,31(20):53-54.
[13]郭丽娟,崔立刚,王金锐,等.彩色多普勒超声诊断设备临床应用综合评价研究[J].中国医学装备,2018,15(11):35-39.
[14]王强,王琦,许允发,等.Neusoft NeuViz 128 CT诊断颅内动脉瘤的价值[J].中国中西医结合影像学杂志,2018,16(2):172-173.
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