中国医学装备2024,Vol.21Issue(10) :155-160.DOI:10.3969/j.issn.1672-8270.2024.10.028

基于专家启发的医院医用耗材准入决策体系建立与实践

Establishment and practice of hospital medical consumable admission decision-making system based on expert heuristics

高雷 毛瑞 何晓荔 叶渝彬 贾晶晶 温林
中国医学装备2024,Vol.21Issue(10) :155-160.DOI:10.3969/j.issn.1672-8270.2024.10.028

基于专家启发的医院医用耗材准入决策体系建立与实践

Establishment and practice of hospital medical consumable admission decision-making system based on expert heuristics

高雷 1毛瑞 1何晓荔 2叶渝彬 1贾晶晶 1温林3
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作者信息

  • 1. 四川省医学科学院·四川省人民医院医学装备部 成都 610072
  • 2. 四川省医学科学院·四川省人民医院后勤党总支 成都 610072
  • 3. 四川省医学科学院·四川省人民医院龙泉院区(东院)院长办公室 成都 610072
  • 折叠

摘要

目的:构建同类型医用耗材快速准入评估模型,以实现医用耗材管理的科学性、高效性与实用性平衡.方法:基于微型卫生技术评估(Mini-HTA)模型结合专家启发对同类型医用耗材的预期用途、技术特征等进行快速定性分析,利用德尔菲法征询专家意见,构建同类型医用耗材快速准入评估模型.选取2023年6月至2024年3月四川省人民医院临床使用的80种高值医用耗材,分别采用传统准入流程方法与专家启发优化方法进行医用耗材准入决策,每种方法遴选准入40种高值医用耗材,对比分析两种不同准入决策方法的决策过程和审批时间的差异.结果:同类型医用耗材快速准入评估模型的准入决策体系指标包括临床效果、可靠性、经济性、价值观和意愿、医院管理以及企业服务6项一级指标和25项二级指标.采用同类型医用耗材快速准入评估模型进行医用耗材准入决策的审批环节由传统准入流程的10个减少到2个,审批时间从平均7.03 d缩短至2.43 d.结论:基于专家启发的同类型医用耗材快速准入评估模型能显著优化医用耗材准入流程,提高医用耗材准入决策的全面性和透明度,提升医用耗材管理效率.

Abstract

Objective:To construct a rapid admission evaluation model for medical consumables of same category,and to achieve a balance between scientificity,efficiency and practicality in the management of medical consumables.Methods:Based on the mini health technology assessment(Mini-HTA)model,combined with expert heuristics,a rapid qualitative analysis of the intended use and technical characteristics of the same category of medical consumables were conducted.Expert opinions were solicited through the Delphi method,and a rapid admission evaluation model of same category of medical consumables was constructed.A total of 80 high-value medical consumables of 10 categories in clinical use in Sichuan Provincial People's Hospital from June 2023 to March 2024 were selected,and the traditional admission process method and expert heuristics optimization method were used to make admission decisions for medical consumables,with 40 high-value medical consumables for each method.The differences in the decision-making process and approval time between the two different admission methods were compared and analyzed.Results:The admission decision-making system indicators of the rapid admission evaluation model of medical consumables of same category included 6 primary indicators of clinical efficacy,reliability,economics,values and aspirations,hospital management and corporate services,and 25 secondary indicators.The approval process for medical consumables admission decision-making using the rapid admission evaluation model of medical consumables of same category had been reduced from 10 in the traditional admission process to 2,and the approval time had been shortened from an average of 7.03 days to 2.43 days.Conclusion:The rapid admission evaluation model for the approval of medical consumables of same category based on expert heuristics can significantly optimize the admission approval process of medical consumables,improve the comprehensiveness and transparency of medical consumables admission decisions,and improve the management efficiency of medical consumables.

关键词

专家启发/医用耗材准入/德尔菲法评估模型/准入决策体系

Key words

Expert heuristics/Medical consumable admission/Delphi evaluation model/Admission decision-making system

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基金项目

国家卫生健康委医药卫生科技发展研究中心省部级纵向课题(WKZX2023WK0102)

中国医学装备协会运营与绩效分会2023年度管理研究课题(CMOP-2-2023-7)

四川省人民医院软科学基金(2022RK05)

出版年

2024
中国医学装备
中国医学装备协会

中国医学装备

CSTPCD
影响因子:0.882
ISSN:1672-8270
参考文献量16
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