Determinants of medical equipment performance to improve management capacity within health system in Viet Nam

提高越南卫生系统管理能力的医疗设备性能的决定因素

• 批准号: MR/M002306/1
• 负责人: Thanh Nguyen
• 金额: $ 14.69万
• 依托单位: Hanoi University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FM002306%2F1
• 关键词: Determinants; medical; equipment; performance; improve

1 BackgroundMedical equipment is one of the major contributors to the rapid progress of healthcare and the improvement of public health services. The constant increase in the variety and complexity of available health technologies require good management capacity to allocate the resources efficiently. The review of the World Bank's global $1.5 billion investment in medical devices showed that there are cases where 30% of the more sophisticated equipment stock was unused and the rest had 25-35% downtime. A root cause turned out to be ineffective management including planning, acquisition and subsequent operations . In the context of limited public health care funding, ensuring resources for medical equipment and infrastructure is challenging for Vietnam. There is no official data by Vietnam Ministry of Health (MOH) on total budget for medical equipment investment, maintenance and effectiveness throughout the health system. There are international guidelines and recommendations by WHO, especially for developing countries, on how to organize the management according to the equipment life-cycle . How well Vietnam equipment management practice follow the recommended guidelines and how WHO guidelines and recommendations can apply in Vietnam are basic questions to be investigated. The research will thus address one important, but often neglected, building block of the Vietnamese health system; Technologies, with particular focus on finding determinants of medical equipment performance to improve management effectiveness via education and training intervention.2 RationaleIn Viet Nam, as in many other countries of a similar income level, health technology management is not well-developed. There is no sound evidence on the effectiveness of the health technologies. According to a recent report, the percentage of medical equipment in good use condition ranges from 20% to 50% of total medical equipment in use in hospitals at all levels. In addition, the percentage of equipment being maintained drops to 30% in central and provincial level hospitals, and even to 10% in district level hospitals .The education of e.g. public health experts and/or clinical engineers in Health Technology Management is not systematically taking place in Vietnam. However, Department of Medical Equipment Management at the Hanoi School of Public Health (HSPH), the only of its kind among all health related universities in Vietnam, is responding to the importance of this area and is eager to identify priority areas to be addressed in the curriculum of master of hospital management and continuous training for health professional training program.Access to functioning and safe medical equipment at the point-of-care is key for providing health care services to the population. Typically technology "intensive" services profit more from an improved technology infrastructure. In this sense, everybody using health care services will eventually benefit from the system change. 3. ImportanceThere is no current data or studies of similar systematics or scope. In the area of health systems and policies, there is thus a great interest in obtaining such reference data. The research is proposed specifically in Vietnam because of its development level - the health care expenditure on health technology in relation to the presence of appropriate management practices and education is particularly poor, i.e. there is great potential for improvement.4. Research ImpactAt all stages of the research, relevant stakeholders and policy-makers will be involved closely. The results of the research will on one hand inform the MOH in the development of policies and actions on the other hand allow the HSPH in curriculum development and on design further research.

1 研究背景医疗设备是医疗卫生事业快速进步和公共卫生服务水平提高的主要贡献者之一。可用卫生技术的多样性和复杂性不断增加，需要良好的管理能力来有效地分配资源。世界银行对全球15亿美元医疗设备投资的审查显示，存在30%的较先进设备库存未使用的情况，其余的有25-35%的停机时间。根本原因是规划、收购和后续运营等管理不力。在公共医疗卫生资金有限的情况下，确保医疗设备和基础设施资源对越南来说是一项挑战。越南卫生部 (MOH) 没有关于整个卫生系统医疗设备投资、维护和有效性的总预算的官方数据。世界卫生组织，特别是针对发展中国家，有关于如何根据设备生命周期组织管理的国际指南和建议。越南设备管理实践如何遵循建议的指南以及世界卫生组织的指南和建议如何在越南应用是需要调查的基本问题。因此，这项研究将解决越南卫生系统的一个重要但经常被忽视的组成部分；技术，特别注重寻找医疗设备性能的决定因素，通过教育和培训干预来提高管理效率。2 基本原理 在越南，与许多其他收入水平相似的国家一样，卫生技术管理并不发达。没有可靠的证据证明卫生技术的有效性。据最新报告显示，各级医院医疗设备使用状况良好的比例占医疗设备总数的20%至50%。此外，中央和省级医院的设备维修率下降到30%，地区级医院甚至下降到10%。卫生技术管理方面的公共卫生专家和/或临床工程师在越南尚未系统化。然而，河内公共卫生学院 (HSPH) 的医疗设备管理系是越南所有与卫生相关的大学中唯一的此类机构，该系正在响应这一领域的重要性，并渴望确定医院管理硕士课程和卫生专业培训计划持续培训中需要解决的优先领域。在护理点获得功能正常且安全的医疗设备是向民众提供卫生保健服务的关键。通常，技术“密集型”服务从改进的技术基础设施中获利更多。从这个意义上说，每个使用医疗保健服务的人最终都会从制度变革中受益。 3. 重要性 目前没有类似系统学或范围的数据或研究。因此，在卫生系统和政策领域，人们对获取此类参考数据非常感兴趣。这项研究是专门在越南提出的，因为越南的发展水平——与适当的管理实践和教育相关的卫生技术方面的医疗保健支出特别差，即有很大的改进潜力。4。研究影响在研究的各个阶段，相关利益相关者和政策制定者都将密切参与。研究结果一方面将为卫生部制定政策和行动提供信息，另一方面允许HSPH在课程开发和设计方面进行进一步研究。

项目成果

Validity and reliability of the scale to measure level of influence of determinants to medical equipment management in hospital in Vietnam

衡量越南医院医疗设备管理决定因素影响水平的量表的有效性和可靠性

• 发表时间: 2017
• 期刊: Vietnam Journal of Pharmacy and Medicine
• 作者: Nguyen Nhat Linh

Medical Equipment National Policy Review

医疗设备国家政策审查

• 发表时间: 2017
• 作者: Nguyen Nhat Linh

Vietnam medical equipment policy review

越南医疗设备政策审查

• 发表时间: 2017
• 期刊: Vietnam journal of public health
• 作者: Nguyen Nhat Linh

Difference in performance of medical equipment management in public hospitals across levels in Vietnam

越南各级公立医院医疗设备管理绩效差异

• 期刊: AIMS
• 作者: Nguyen Nhat Linh

Medical equipment management training need assessment in 30 public hospitals in Vietnam

越南30家公立医院医疗设备管理培训需求评估

• 发表时间: 2017
• 期刊: Vietnam journal of Public Health
• 作者: Nguyen Nhat Linh