首页|基于博弈论组合赋权联合云模型的医疗设备临床效益评价模型构建研究

基于博弈论组合赋权联合云模型的医疗设备临床效益评价模型构建研究

Construction and application of a clinical benefit evaluation model of medical equipment based on combination weighting of game theory with cloud model

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目的:基于博弈论组合赋权联合云模型构建医疗设备临床效益评价模型,用于评价医疗设备临床效益水平,以提高医疗设备临床服务能力和运行质量.方法:采用博弈论组合赋权联合云模型构建医疗设备临床效益评价模型,通过对医疗设备的直接投入、直接产出和间接效益3个维度13项临床效益评价指标进行科学赋权和综合评估,制定对应的设备管理对策.选取2022年至2023年泰州市人民医院临床在用的47台大型医疗设备,将2022年期间使用的设备采用主观评价管理(主观评价),2023年期间使用的设备采用博弈论组合赋权联合云模型的医疗设备临床效益评价模型(模型评价)进行设备临床效益评价与管理.对比两种管理方法的设备临床效益、运行质量和管理水平,并对参与设备使用的52名管理人员进行考核.结果:采用模型评价管理方法的医疗设备管理有效率为63.83%(30/47),高于主观评价管理方法,差异有统计学意义(x2=5.158,P<0.05);采用模型评价管理方法的医疗设备平均临床风险率、故障发生率和检测不合格率分别为(10.59±3.09)‰、(7.27±3.53)‰和(12.06±2.43)‰,均低于主观评价管理方法,差异有统计学意义(Z=3.783、2.748、3.928,P<0.05);设备使用的52名管理人员对采用模型评价管理方法的设备使用、维护、维修和规划能力考核成绩分别为(93.38±3.73)、(94.05±3.14)、(92.61±3.44)和(94.88±2.50)分,均高于主观评价管理方法,差异有统计学意义(Z=2.718、3.036、3.039、3.929,P<0.05).结论:基于博弈论组合赋权联合云模型的医疗设备临床效益评价模型应用,能够准确评价医疗设备临床效益水平,提高设备运行质量,改善设备管理水平.
Objective:To construct a clinical benefit evaluation model of medical equipment based on the combination weighting of game theory with cloud model,so as to improve the clinical service capability and operational quality of medical equipment. Methods:The game theory,combination weighting and cloud model were used to scientifically empower and comprehensively evaluate 13 clinical benefit evaluation indexes from 3 dimensions:direct input,direct output. and indirect benefits of medical equipment,and to develop corresponding equipment management strategies.. 47 large medical equipment in clinical use at Taizhou People's Hospital from 2022 to 2023 were selected,and the large medical equipment used in 2022 was subjected to subjective evaluation management. The equipment used in 2023 adopts a medical device clinical benefit evaluation model (referred to as model evaluation management) of game theory combination weighting and cloud model to carry out clinical benefit evaluation and management of the equipment. The clinical benefit,operation quality and management level of the two management methods were compared. Results:The effective management rate of medical equipment using the model evaluation management method was 63.83%(30/47),which was higher than that using the subjective evaluation management method,and the difference was statistically significant (x2=5.158,P<0.05). The average clinical risk rate,failure rate and detection failure rate of medical equipment using the model evaluation management method were (10.59±3.09)‰,(7.27±3.53)‰ and (12.06±2.43)‰,respectively,all of which were lower than those obtained through the subjective evaluation management method. The differences were statistically significant (Z=3.783,2.748,3.928,P<0.05). The assessment scores of medical equipment use managers on the ability of equipment use,maintenance,repair and planning using the model evaluation management method were (93.38±3.73) points,(94.05±3.14) points,(92.61±3.44) points and (94.88±2.50) points,respectively,which were higher than those obtained through the subjective evaluation management method. The differences were statistically significant (Z=2.718,3.036,3.039,3.929,P<0.05). Conclusion:The application of the clinical benefit evaluation model of medical equipment,which based on the game theory combination weighting and cloud model,can accurately evaluate the clinical benefit level of medical equipment,and improve the operation quality of the equipment,and enhance the management level of equipment.

Game theoryCombinatorial weightingCloud modelClinical benefitOperation qualityMedical devices

杨森、刘兰君、汪羽、顾爱芹

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泰州市人民医院院办 泰州 225300

泰州市人民医院医学工程处 泰州 225300

泰州市人民医院党办 泰州 225300

博弈论 组合赋权 云模型 临床效益 运行质量 医疗设备

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
年,卷(期):2024.21(12)