基于德尔菲法和层次分析法的数字减影血管造影设备评价指标体系构建  

Construction of evaluation index system of digital subtraction angiography equipment based on Delphi method and analytic hierarchy process

作　　者：钱杰 徐云华 王杰[1] 薛张华 Qian Jie;Xu Yunhua;Wang Jie;Xue Zhanghua(Logistics Support Department,Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Research Institute,China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai 200020,China)

机构地区：[1]上海市胸科医院(上海交通大学医学院附属胸科医院)后勤保障部,上海200030 [2]上海交通大学中国医院发展研究院研究所,上海200020

出　　处：《中国医学装备》2024年第9期124-129,共6页China Medical Equipment

基　　金：上海交通大学中国医院发展研究院医院后勤管理研究所青年培养项目(CHDI-2022-C-14)。

摘　　要：目的:构建医院医用数字减影血管造影(DSA)设备评价指标体系,为医院设备采购、维护和保养提供支持与参考。方法:采用线上线下问卷调查、专家访谈和专家咨询等复合方式,通过德尔菲法建立DSA设备评价指标体系,运用层次分析法(AHP)确定设备评价指标体系的各项指标权重。结果:构建的评价指标体系包括系统与技术性能、软件与安全、机器质量、售后服务和供应商资质5个一级指标和26项二级指标,5个一级指标的权重分别为0.2954、0.2359、0.2037、0.2072和0.0557;二级指标组合权重值由大到小排名前3的分别为准确性与稳定性(0.1180)、开机率与故障率(0.1058)和设备修复时间(0.0804)。采用评价指标体系进行售后服务选择后,售后服务响应时间由应用前的平均48.6 h缩短到12.09 h,响应时间缩短75.12%,临床科室对设备厂商的服务满意度由应用前的74.98%提升到97.37%。结论:基于德尔菲法和AHP构建的DSA设备评价指标体系将主观性强的评价指标转变为客观性并进行量化,能够规范医院临床科室对DSA设备招标评估的措施制定,为医院设备采购、维护和保养提供科学理论支持。Objective:To construct an evaluation index system for medical digital subtraction angiography(DSA)equipment in hospitals,and to provide support and reference for the procurement,maintenance and care of hospital equipment.Methods:The DSA equipment evaluation index system was established by Delphi method by using online and offline questionnaire surveys,focus interviews and expert consultations,and the weight of each index of the equipment evaluation was determined by analytic hierarchy process(AHP).Results:The constructed evaluation index system included 5 primary indicators and 26 second-level indicators of system and technical performance,software and safety,machine quality,after-sales service and supplier qualification.The weights of the 5 primary indicators were 0.2954,0.2359,0.2037,0.2072 and 0.0557,respectively.The top 3 weights of the second-level indicators combinations from large to small were accuracy and stability(0.1180),startup rate and failure rate(0.1058)and equipment repair time(0.0804).After the application of the evaluation index system for after-sales service selection,the after-sales service response time was shortened from the average 48.6 h before application to 12.09 h,the response time was shortened by 75.12%,and the service satisfaction of clinical departments with equipment manufacturers was increased from 74.98%before application to 97.37%.Conclusion:The DSA equipment evaluation index system based on Delphi method and AHP can transform subjective evaluation indicators into objective and quantified indicators,which can standardize the formulation of DSA equipment bidding evaluation measures for clinical departments in hospitals,and provide scientific theoretical support for hospital equipment procurement and maintenance.

关 键 词：德尔菲法 层次分析法 数字减影血管造影设备 专家咨询法 设备评价指标体系 

分 类 号：R197.39[医药卫生—卫生事业管理]