医疗器械管理改革,坦桑尼亚联合共和国。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bulletin of the World Health Organization Pub Date : 2024-09-01 Epub Date: 2024-07-04 DOI:10.2471/BLT.23.290636
Ally Kebby Abdallah, Suniva Haule, Reinhold Werlein, Valentino Mvanga, Patrick Delcroix, Jasmina Saric, Manfred Stoermer
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引用次数: 0

摘要

医疗保健技术对于提高医疗保健系统的生产力和质量至关重要。然而,在许多撒哈拉以南非洲国家,医疗设备管理系统薄弱或不存在。本文旨在通过一个案例研究,说明政策改革如何有助于确保医疗保健技术政策转化为日常实践,以及综合系统方法如何能够加强医疗设备管理的运作。2011 年至 2023 年期间,通过瑞士与坦桑尼亚在 "健康促进和系统强化项目 "中的合作,制定并实施了一项旨在改善坦桑尼亚联合共和国医疗设备管理系统的计划。通过新的培训课程和在政府中设立长期职位,增加了生物医学工程师的数量。此外,还建立了更多的地区和区域维护和维修车间,并成立了国家校准和培训中心,以确保医疗设备的正常运行。电子医疗设备管理系统的引入为医疗机构和卫生部提供了有关医疗设备运行状况以及维修和备件需求的数据。鼓励各级政府为医疗设备管理分配更多的人力和财力资源。经过长达十年的努力,正常运行设备的比例大幅提高,通过维修而不是更换设备降低了成本。该项目还证明了综合的系统强化方法的价值,这种方法考虑到了人员、维护和维修设施、文件和管理以及政府政策和预算编制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical device management reform, United Republic of Tanzania.

Health-care technology is central to boosting the productivity and quality of health-care systems. In many sub-Saharan African countries, however, medical device management systems are weak or absent. The aim of this article is to illustrate, using a case study, how policy reforms can help ensure policy on health-care technology is translated into everyday practice and how an integrated systems approach can enhance the operation of medical device management. Between 2011 and 2023, a plan to improve medical device management systems in the United Republic of Tanzania was developed and implemented through Swiss-Tanzanian cooperation within the Health Promotion and System Strengthening Project. The availability of biomedical engineers was increased through new training courses and the creation of permanent positions in government. Moreover, additional district and regional maintenance and repair workshops were built, and a National Centre for Calibration and Training was established to ensure the correct functioning of medical devices. The introduction of an electronic medical device management system provided health facilities and the health ministry with data on the operational status of medical devices and the need for repairs and spare parts. Every level of government was encouraged to allocate more human and financial resources to medical device management. Following this decade-long effort, the percentage of functioning equipment increased substantially, and costs were reduced by repairing rather than replacing equipment. The project also demonstrated the value of an integrated, system-strengthening approach that considered personnel, maintenance and repair facilities, documentation and management, and government policy and budgeting.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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