摘要
目的识别公立医院大型医用设备购置决策的关键影响因素及作用机制,为优化大型医用设备购置决策提供参考依据。方法通过对公立医院大型医用设备购置决策相关文献进行检索和政策梳理,初步筛选决策影响因素体系。运用德尔菲法和决策试验与评估实验室法获得设备购置决策的关键影响因素并确定因素间交互效应。结果共筛查出7个原因因素和9个结果因素。其中,成本效益分析、设备技术性能、相近设备评估为前3位关键驱动因素,领导重视程度、设备市场价格、设备配套设施为前3位关键约束因素。结论优先强化驱动因素管理,主要对成本效益进行全周期评估,关注设备技术性能的临床价值产出并对区域相近设备进行监测。建立约束因素动态应对机制,主要加强领导决策论证,推行集中采购价格谈判模式并完善配套设施预评估制度。
Objective To identify the key influencing factors and role mechanisms of large-scale medical equip⁃ment allocation decision-making in public hospitals,and to provide a reference basis for optimizing resource alloca⁃tion strategies.Methods Through searching the literature related to large-scale medical equipment decision-making in public hospitals and combing the policies,the system of decision-making influencing factors was initially screened.The Delphi method and decision-making trial and evaluation laboratory method were used to obtain the key influencing factors of equipment allocation decision-making and to determine the interaction effects among the factors.Results A total of seven cause factors and nine effect factors were screened.Among them,cost-benefit analysis,equipment technical performance,and evaluation of similar equipment were the top three key drivers;leadership emphasis,equipment market price,and equipment supporting facilities were the top three key con⁃straints.Conclusion Priority be given to strengthening the management of driving factors,mainly by conducting a full-cycle assessment of cost-effectiveness,paying attention to the clinical value output of equipment technical performance,and monitoring regionally similar equipment.A dynamic response mechanism for constraints should be established,mainly to strengthen leadership decision-making,implement a centralized procurement price nego⁃tiation model and improve the pre-assessment system for ancillary facilities.
作者
蒋帅
董晓雪
翟宇杰
王敬
马睿
左一博
赵进进
王成增
Jiang Shuai;Dong Xiaoxue;Zhai Yujie(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450052,China;不详)
出处
《中国医院管理》
北大核心
2025年第10期1-5,共5页
Chinese Hospital Management
基金
中原医创基金会医院管理研究项目(25YCG1012,24YCG2005)
中原医创基金会重点项目(ZYYC202403ZD)
河南省重点研发专项项目(241111210200)。
关键词
公立医院
大型医用设备
购置决策
决策试验与评估实验室法
public hospitals
large medical equipment
allocation decisions
decision-making trial and evalua⁃tion laboratory method
