生命支持设备配置决策体系在生命支持设备中的管理价值研究  

A study of the management value of life support equipment configuration decision systems in life support equipment

作　　者：王旭[1] 钟杰 龚敏[1] 刘麒麟[1] Wang Xu;Zhong Jie;Gong Min;Liu Qilin(Department of Medical Engineering,Facilities and Materials,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院设备物资部医学工程科,成都610041

出　　处：《中国医学装备》2025年第3期120-125,共6页China Medical Equipment

摘　　要：目的:基于医疗卫生技术评估(HB-HTA)理论构建生命支持设备配置决策指标体系,探讨其在生命支持设备管理中的应用价值。方法:基于HB-HTA理论从设备安全性、有效性、适宜性和经济性4个维度建立生命支持设备配置决策指标体系,采用多目标灰靶决策模型进行数据量化处理和决策优化评估,对设备进行配置决策评估与管理。选取2022年1月至2023年12月四川大学华西医院临床在用的149台生命支持设备,将2022年1月至12月配置管理的138台设备采用专家评审配置管理模式开展配置决策,2023年1月至12月配置管理的143台设备(含专家评审配置管理模式132台)采用HB-HTA理论的生命支持设备配置决策指标体系(HB-HTA配置管理模式)开展设备配置决策管理。对比两种配置管理模式的设备配置项目目标预测评估值、HB-HTA绩效达成比率以及参与设备管理的46名临床科室人员、15名设备科人员和11名其他科室人员管理水平考核成绩。结果:采用HB-HTA配置管理模式进行配置决策的心脏支持设备、呼吸支持设备、麻醉支持设备及其他支持设备配置项目的目标预测评估值分别为0.65±0.22、0.68±0.16、0.70±0.15和0.58±0.20,均高于专家评审配置管理模式,差异有统计学意义(t=3.362、3.585、4.152、3.247,P<0.05);配置项目的安全性、有效性、适宜性和经济性平均绩效达成率均值分别为(97.29±1.65)%、(96.19±2.08)%、(95.82±2.29)%和(94.92±2.29)%,均高于专家评审配置管理模式,差异有统计学意义(t=2.297,2.377,2.753,2.951,P<0.05)。参与设备管理的72名科室人员对采用HB-HTA配置管理模式进行配置决策的生命支持设备配置项目管理水平考核成绩分别为(93.24±3.12)、(95.35±3.22)和(95.78±1.82)分,均高于专家评审配置管理模式,差异有统计学意义(t=3.220、2.435、2.404,P<0.05)。结论:HB-HTA理论的生命支持设备配置决策指标体系应用,能够全面分析�Objective:To construct decision indicator system for the allocation of life-support equipment on the basis of hospital-based health technology assessment(HB-HTA)theory,and explore its application value in the management for life-support equipment.Methods:The decision indicators of the allocation of life-support equipment were formulated from four dimensions that included equipment safety,effectiveness,suitability and economy on the basis of HB-HTA theory,so as to assess and manage the decision for allocation of equipment.A total of 149 using life-support equipment in clinical work in West China Hospital of Sichuan University from January 2022 to December 2023 were selected,and expert review mode was adopted to conduct decision for allocation of 138 equipment received management for allocation from January to December 2022,and the decision indicator system for the allocation of life-support equipment on the basis of HB-HTA theory was adopted to conduct decision management for the allocation of 143 equipment(included 132 equipment received expert review mode for management of allocation)that received management for allocation from January to December 2023.The predictive assessment value for target,the achievement ratio of HB-HTA performance,the result of examination of management level of 46 personnel from clinical department,15 personnel from department of equipment,and 11 personnel from other department in items of allocation of equipment were compared between two kinds of management modes for allocation.Results:The predictive assessment values for target of the allocation items of heart-support equipment,respiratory-support equipment,anesthesia-support equipment and other support equipment which adopted HB-HTA management mode for allocation were respectively 0.65±0.22,0.68±0.16,0.70±0.15 and 0.58±0.20,which were higher all than those of management mode of expert review for allocation,and the differences were statistically significant(t=3.362,3.585,f4.152,3.247,P<0.05).The achievement ratio of average perform

关 键 词：医疗卫生技术评估(HB-HTA) 生命支持设备 配置决策 耦合加权 目标绩效 

分 类 号：R197.39[医药卫生—卫生事业管理]