医疗机构高值耗材准入管理中卫生技术评估指标量表的探索  

Exploration of Indexes and Scales for Health Technology Assessment in Access Management of High-Value Consumables in Medical Institutions

作　　者：华婷[1] 郑焜[2,3] 郦柏平[1] 施骏[1] 程夏倩[1] 沈晓莉 HUA Ting;ZHENG Kun;LI Boping;SHI Jun;CHENG Xiaqian;SHEN Xiaoli(Department of Purchasing,The Children’s Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310052,China;Department of Logistics Support,The Children’s Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310052,China;Department of Medical Equipment,The Children’s Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院采购中心,浙江杭州310052 [2]浙江大学医学院附属儿童医院后勤保障部,浙江杭州310052 [3]浙江大学医学院附属儿童医院医疗设备科,浙江杭州310052

出　　处：《中国医疗设备》2022年第1期1-4,19,共5页China Medical Devices

基　　金：2022年浙江省卫生健康科技计划(2022PY068)。

摘　　要：目的探讨高值医用耗材综合评估指标量表,为国内影响医疗机构高值耗材的准入管理因素研究提供有效的客观评价工具。方法通过文献研究总结国外高值耗材准入管理经验,对初始卫生技术评估清单进行定义,评估清单经过两次问卷调查,采用信、效度分析,确定评估指标以及相对应的权重。结果因子分析提炼出两个维度;评价指标量表总体Cronbach’s Alpha系数为0.909;因子分析KMO值为0.870,Bartlett球形检验显示Sig值为0;研究结果表明各个指标所占权重相近,"新产品创新有文献支撑"权重值最高为0.1162,"是否降低耗占比"权重值最低为0.1024。结论卫生技术评估指标量表具有良好的信度和效度,可为实现现代化医院医用高值耗材准入管理提供支撑手段。Objective To explore the comprehensive evaluation indexes and scales of high-value medical consumables, so as to provide an effective objective evaluation tool for the research on the factors influencing the access management of high-value medical consumables in domestic medical institutions. Methods The foreign experience of high-value consumables access management was summarized through literature research, and the initial health technology assessment list was defined. After two times of questionnaire surveys, reliability analysis and validity analysis were used to determine the assessment indicators and corresponding weight. Results Factor analysis extracted two dimensions. The overall Cronbach’s Alpha coefficient of the evaluation index and scale was 0.909. The KMO value of factor analysis was 0.870, and the Sig value of Bartlett spherical test was 0. The results showed that the weights of each index were similar. The highest weight value of "new product innovation supported by literature" was 0.1162, and the lowest weight value of "whether to reduce consumption ratio" was 0.1024. Conclusion The indexes and scales for health technology assessment has good reliability and validity, which can provide a supporting means for the access management of highvalue medical consumables in modern hospitals.

关 键 词：高值医用耗材 准入管理 卫生技术评估 指标量表 

分 类 号：R197.32[医药卫生—卫生事业管理]