基于反向传播神经网络-数据包络分析的康复医疗设备质量风险预警与服务效率优化研究OA
Study on early quality risks warning and optimization of service efficiency of medical equipment for rehabilitation on the basis of BP neural network-DEA
目的:研究基于反向传播(BP)神经网络-数据包络分析(DEA)的康复医疗设备质量风险预警与服务效率优化模式在设备精细化管理中的应用价值.方法:通过BP神经网络挖掘设备质量风险敏感特征建立预警机制,运用DEA模型开展多投入-多产出效率评估,根据风险关键因子确定优化策略对康复医疗设备进行管理.选取2024年1月至12月宁波市康复医院临床在用的120台康复设备,按照随机数表法将其分为两组,每组60台,分别采用常规管理模式和基于BP神经网络-DEA的康复医疗设备质量风险预警与服务效率优化模式(优化管理模式)进行设备管理,对比两种管理模式的设备风险预警指标、DEA效率指标、产出指标和成本效益增幅的差异.采用自制调查问卷调研使用康复设备进行治疗的200例患者对设备管理的满意率,每种管理模式100例患者.结果:采用优化管理模式的康复医疗设备平均预警准确率、平均响应及时率和平均实时反馈覆盖率分别为(93.68±2.45)%、(95.22±2.44)%和(96.22±2.33)%,均高于常规管理模式,差异均有统计学意义(t=20.520、15.097、22.619,P<0.05),而平均设备故障发生率低于常规管理模式,差异有统计学意义(t=15.676,P<0.05);设备技术效率均值、纯技术效率均值和规模效率均值均高于常规管理模式,差异均有统计学意义(t=13.396、13.255、9.226,P<0.05);设备年服务患者人次、患者平均满意率和康复有效率均高于常规管理模式,差异均有统计学意义(t=16.181、29.614、14.316,P<0.05);物理治疗、运动治疗、作业治疗、言语治疗、康复评定和其他辅助设备的平均成本效益增幅均高于常规管理模式,差异均有统计学意义(t=6.865、13.613、5.970、5.952、5.724、6.454,P<0.05).结论:基于BP神经网络-DEA的康复医疗设备质量风险预警与服务效率优化模式应用于康复医疗设备管理,能降低设备预警风险,提升DEA效率指标、产出指标和设备成本效益增幅.
Objective:To study application value of the early warning for quality risks,and the optimal mode of service efficiency of medical equipment for rehabilitation on the basis of back propagation(BP)neural network-data envelopment analysis(DEA)in refined management for equipment.Methods:An early warning mechanism was established through sensitive characteristics of quality risks of mining equipment of BP neural network,and the DEA model was used to conduct multi-input-multi-output efficiency assessment.The optimal strategies were determined on the basis of key factors of risks to implement management for medical equipment for rehabilitation.A total of 120 rehabilitation equipment in clinical use at Ningbo Rehabilitation Hospital from January 2024 to December 2024 were selected.They were divided into two groups according to the random number table method,with 60 equipment in each group.The two groups were respectively managed by conventional management mode and optimal mode of early warning and serve efficiency for quality risks of medical equipment for rehabilitation on the basis of BP neural network-DEA(optimal management mode).The differences of the indicators included early warning for risks,DEA efficiency,output and increase of cost-benefit between two kinds of management modes were compared.The self-made survey questionnaire was adopted to investigate satisfaction rates of 200 patients,who used equipment to conduct treatment for rehabilitation,for managing equipment,and each management mode involved 100 patients.Results:The average accuracy rate of early warning,average timely rate of response,and average coverage rate of real-time feedback of medical equipment for rehabilitation of adopting optimal management mode were respectively(93.68±2.45)%,(95.22±2.44)%,and(96.22±2.33)%,which were significantly higher than those of conventional management mode,and the differences of them between two groups were significant(t=20.520,15.097,22.619,15.676,P<0.05).The average fault rate of equipment of the optimal management mode was lower than that of the conventional management mode,and the difference was significant(t=15.676,P<0.05).The means of technical efficiency,pure technical efficiency,and scale efficiency of equipment of the optimal management mode group were significantly higher than those of the conventional management mode group,and the difference were significant(t=13.396,13.255,9.226,P<0.05).The person-times of annual serve of equipment for patients,the average satisfaction rate of patients,effectiveness rate of rehabilitation of the optimal management mode group were significantly higher than those of the conventional management mode group,and the differences were statistically significant(t=16.181,29.614,14.316,P<0.05).The average extent of cost-benefit of physical therapy equipment,exercise therapy equipment,occupational therapy equipment,speech therapy equipment,rehabilitation evaluation equipment,and other auxiliary equipment of the optimal management mode group were significantly higher than those of the conventional management mode group,and the differences were statistically significant(t=6.865,13.613,5.970,5.952,5.724,6.454,P<0.05).Conclusion:The application of the optimal mode of early warning and serve efficiency for quality risks of medical equipment for rehabilitation on the basis of BP neural network-DEA in management for medical equipment for rehabilitation can reduce risks of early warning for equipment,and enhance the increased extents of the indicators of DEA efficiency,output and cost-benefit of equipment.
李丹丹;陈国忠;梁家理;蔡政;魏坤
宁波市康复医院科研科 宁波 315042宁波市康复医院设备科 宁波 315042浙江大学医学院附属第二医院临床医学工程部 杭州 310009宁波市康复医院骨关节与脊髓损伤康复治疗区 宁波 315042宁波市康复医院科研科 宁波 315042
医药卫生
反向传播(BP)神经网络数据包络分析(DEA)康复医疗设备质量风险预警服务效率
Back propagation(BP)neural networkData envelopment analysis(DEA)Medical equipment for rehabilitationEarly warning for quality riskService efficiency
《中国医学装备》 2026 (6)
120-127,8
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