大型医疗设备使用效益评价指标体系构建研究OA

Objective To improve the utilization rate of large medical equipment and enhance the refined,digital,intelligent,and scientific management of medical equipment by constructing an evaluation system for the utilization efficiency of large medical equipment.Methods An index pool for evaluating the utilization efficiency of large medical equipment was established through literature analysis and focus group interviews.The Delphi method and analytic hierarchy process were used to determine the evaluation index system and the weight of each level of indexes.Results The finally constructed evaluation system included 4 first-level indexes(social benefits,economic benefits,management benefits,and scientific and educational benefits)and 17 second-level indexes.The second-level indexes were further divided into efficiency indexes and effectiveness indexes according to their attributes.The weights of the first-level indexes were 43.93%,31.07%,14.64%,and 10.36%in sequence.The weight range of the second-level indexes was 0.82%-19.90%,among which the equipment utilization rate(19.90%),return on investment(14.08%),and number of equipment-based diagnoses and treatments(11.49%)had relatively higher weights.Conclusion This index system meets the multi-dimensional evaluation needs and can objectively reflect the utilization efficiency of large medical equipment in public hospitals.It not only makes up for the deficiency of"emphasizing procurement over management"in traditional evaluation but also provides scientific data support for equipment procurement decisions,daily use supervision,and operation and maintenance optimization.In the future,further exploration can be conducted on its applicability in hospitals of different scales and regions,and optimization and improvement can be made in light of actual needs.