RESEARCH WORK
Accepted: 2025-10-12
Objective Taking municipal hospitals in Beijing as an example, an in-depth analysis is conducted on the procurement, operation, maintenance costs, and usage data of both domestic and imported large-scale medical equipment. This analysis aims to provide references and suggestions for equipment evaluation and the healthy development of domestic medical equipment. Methods Data on CT, MRI, and X-ray equipment in use in 22 municipal hospitals in Beijing were collected through research,the chi-square test was used to analyze the cost differences from three aspects: "comparison of procurement prices between domestic and imported products", "comparison of procurement prices between domestic products of domestic and imported brands", and "comparison of equipment maintenance prices", and the actual usage and purchase ratio of imported and domestic equipment products are compared, so as to analyze the difference in equipment availability.. Results The procurement prices of domestic products for "64-slice (inclusive) - 128-slice (exclusive) CT", "1.5T and below MRI", "1.5T and above MRI", "DSA", "DR", and "C-arm" were lower than those of imported products (P < 0.05), with a reduction range of 12.97% - 50.8%. Among "64-slice and below CT", "64-slice (inclusive) - 128-slice (exclusive) CT", "1.5T and below MRI", "DR", and "C-arm", only the procurement prices of domestic brand and imported brand domestic products for C-arm had no significant difference (P = 0.711), while the procurement prices of domestic brand products for the other categories were all lower than those of imported brand domestic products (P < 0.05), with a reduction range of 19.68% - 31.91%. For "64-slice (inclusive) - 128-slice (exclusive) CT", "1.5T and below MRI", "DR", and "C-arm", the full-machine maintenance rates after the warranty period for domestic and imported products were basically the same (P > 0.05). In 2020, the proportion of domestic equipment purchases exceeded that of imported equipment for the first time, and remained stable in the past five years.There was no significant difference in the average usage of domestically produced and imported CT and MRI equipment (P=0.260 and 0.055). Conclusion Overall, the procurement prices and maintenance costs of domestic products are lower than those of imported products, The availability and market acceptance of domestic products are not lower than those of imported products. Medical institutions should strengthen their research and demonstration to reduce equipment procurement and operating costs while meeting clinical needs.