基于Delphi-聚类分析集成法的卫生技术需求与呼吸机装备的功能配置评估模式研究

Study on Function Deployment Assessment Model between the Functions of the Clinical Technical Requirements and Ventilator Based on Integrated Delphi-Cluster Analysis

目的构建基于卫生技术定位需求与装备技术配置功能的双向评估指标体系及测量方法,及生装备技术功能配置评估模式和操作机制。方法首先运用文献检索评价及Delphi法确定双向功能配置评估指标体系,然后利用组合赋权法计算需求功能与配置功能指标权重,最后利用系统聚类分析集成完成功能配置评估。结果两轮Delphi专家的积极性系数分别为75.56%和87.50%呼吸机双向功能配置评估指标体系结构。计算出综合ICU、急诊科和术后恢复病房3个科室需求功能权重和呼吸机配置功能权重,得到3个科室呼吸机配置功能的绝对重要度及排名。由聚类分析和呼吸机配置功能的绝对重要度排序,结合系统分析,得出适于不同样本领域装备呼吸机的功能配置方案。结论以卫生技术定位需求与装备技术配置两者最具代表性的标志指标功能为基础,建立双向功能配置评估指标体系并采用序贯集成方法测量,可作为卫生装备配置的评估模式,经实际功能技术利用效率调研校正,评估结果具有实效性。

Objective To set up healthcare device-technology deployment assessment model and procedures through establishing the assessment parameter system between the functions of the clinical technical requirements and devices. Methods The bidirectional assessment parameter system developed by the literature review and Delphi, then combination weighting calculated by the combination weighting method, and the proposals for function deployment performed on the cluster analysis. Results The positive coefficients of twice Delphi were 75.56% and 87.50%, respectively. The effective recovery rates of the questionnaire were higher. The structure of the bidirectional assessment parameter system acquired according to the data mining and review, Delphi and integrated analysis. We calculated the weighting for the required functions and the deployed functions of the ventilator in the ICU, ER and RR. We listed the absolute importance and rank. The proposals for the function deployment of the ventilator which met different needs in fields of the critical care medicine were produced by the cluster analysis, ranking absolute importance and the calibration of weighting based on the investigation for actual function utilized rate. Conclusion It studies healthcare device-technology deployment assessment model by sequential integrated methods and sets up bidirectional assessment parameter system based on clinical technical function requirement, and the result is effective.