基于多准则决策分析的公立医院高值医用耗材准入指标及权重研究  

Access Indicators and Weights of High-Value Medical Consumables in Public Hospitals Based on Multi-Criteria Decision Analysis

作　　者：林海蓓 刘昕 罗莉[3] 郑蕴欣[3] 罗力[1] 金春林[1,2] 王海银 LIN Haibei;LIU Xin;LUO Li(School of Public Health,Fudan University,Shanghai,200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市卫生和健康发展研究中心,上海201100 [3]上海市第六人民医院,上海200000

出　　处：《中国卫生质量管理》2023年第11期64-68,共5页Chinese Health Quality Management

基　　金：2021年上海市卫生健康委员会卫生行业临床研究专项(编号:202140209)。

摘　　要：目的探索构建基于多准则决策分析视角下的高值医用耗材准入指标及权重,为公立医院科学合理准入高值医用耗材提供决策依据。方法采用德尔菲法构建多维度高值医用耗材准入指标,通过层次分析法确定指标权重。结果两轮咨询的专家积极系数和专家权威系数均≥0.8,专家意见一致(P<0.05),最终确定公立医院高值医用耗材准入指标体系包括临床需求、临床价值、经济价值、适宜性、可及性5个一级指标,12个二级指标,14个三级指标。权重排在前3位的是临床需求(0.4394)、临床价值(0.2751)、经济价值(0.1139)。结论构建的高值医用耗材准入指标体系具有一定科学性,以临床科室需求为主,有利于促进医院高值医用耗材准入规范化管理。Objective To explore the construction of access indicators and weights of high-value medical consumables based on multi-criteria decision analysis,and provide decision-making basis for public hospitals to scientifically and reasonably access high-value medical consumables.Methods The Delphi method was employed to construct a multidimensional set of access indexes for high-value medical consumables,and the index weights were determined by analytic hierarchy process.Results The expert positive coefficient and expert authority coefficient of the two rounds of consultation were both above 0.8,and the expert opinions were consistent(P<0.05).Finally,the index system of high-value medical consumables in public hospitals was determined to include 5 first-level indicators,12 second-level indicators,and 14 third-level indicators,including clinical demand,clinical value,economic value,suitability,and accessibility.The top three weights were clinical demand(0.4394),clinical value(0.2751)and economic value(0.1139).Conclusion The established index system of high value medical consumables access is scientific,mainly based on the needs of clinical departments,and is conducive to promoting the standardized management of high value medical consumables access in hospitals.

关 键 词：公立医院 高值医用耗材 多准则决策分析 医院卫生技术评估 

分 类 号：R197.39[医药卫生—卫生事业管理]