| 上海市浦东新区三类大型医用设备利用适宜性研究 |
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| 引用本文： | 熊琨,顾建钧,俞步青,廖兴斌,陈海涵,薛迪.上海市浦东新区三类大型医用设备利用适宜性研究[J].中国卫生资源,2019(2):140-144. |
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| 作者姓名： | 熊琨 顾建钧 俞步青 廖兴斌 陈海涵 薛迪 |
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| 作者单位： | 复旦大学公共卫生学院国家卫生健康委员会卫生技术评估重点实验室(复旦大学);上海市浦东新区卫生和健康委员会 |
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| 摘 要： | 目的研究上海市浦东新区计算机断层扫描(computed tomography,CT)、磁共振成像(magnetic resonance imaging,MRI)和数字减影血管造影(digital subtraction angiography,DSA)设备利用的适宜性及其影响因素.方法在该区9所公立医院中,随机抽取和检查了1425份接受过CT、MRI和DSA检查的住院病案.专家根据检查表,对设备利用的适宜性进行评价.结果在CT、MRI、DSA检查中,87.08%、87.68%和96.17%的检查是适宜的;分层logistic回归显示,医疗机构、疾病类型、检查次数是CT和MRI检查必要性的影响因素.结论上海市浦东新区三类设备利用适宜性整体较高,但应关注不同疾病类型和不同医院间的CT和MRI设备利用合理性的差异.
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| 关 键 词： | 大型医用设备 适宜性 分层logistic回归模型 计算机断层扫描 磁共振成像 数字减影血管造影 |
Study on the appropriateness in utilization of three types of large medical equipments in Pudong New Area of Shanghai |
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| XIONG Kun,GU Jian-jun,YU Bu-qing,LIAO Xing-bin,CHEN Hai-han,XUE Di.Study on the appropriateness in utilization of three types of large medical equipments in Pudong New Area of Shanghai[J].Chinese Health Resources,2019(2):140-144. |
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| Authors: | XIONG Kun GU Jian-jun YU Bu-qing LIAO Xing-bin CHEN Hai-han XUE Di |
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| Institution: | (School of Public Health,Fudan University,Key Lab of Health Technology Assessment,National Health Commission (Fudan University),Shanghai 200032,China;Pudong New Area Health Commission,Shanghai 200135,China) |
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| Abstract: | XIONG Kun;GU Jian-jun;YU Bu-qing;LIAO Xing-bin;CHEN Hai-han;XUE Di(School of Public Health,Fudan University,Key Lab of Health Technology Assessment,National Health Commission (Fudan University),Shanghai 200032,China;Pudong New Area Health Commission,Shanghai 200135,China) |
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| Keywords: | large medical equipment appropriateness multi-level logistic model computed tomography magnetic resonance imaging digital subtraction angiography |
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