基于精细化管理的大型医用设备全生命周期绩效评价体系的构建

Construction of the Whole Life Cycle Performance Evaluation System of Large Medical Equipment Based on Fine Management

目的构建大型医用设备全生命周期绩效评价体系,为大型医用设备的精细化管理提供参考。方法采用文献回顾和专家访谈建立原始指标池,经研究小组对初始指标整理讨论后编制专家函询问卷。采用德尔菲法对遴选的40名医用设备管理相关领域专家进行函询,构建大型医用设备全生命周期绩效评价体系,采用层次分析法确定指标权重。以青岛市某三级甲等医院某分院区健康体检中心CT设备为例,开展实证分析。结果构建了大型医用设备全生命周期绩效评价体系,包含4个一级指标、12个二级指标和117个三级指标。根据此评价体系,对青岛市某三级甲等医院某分院区健康体检中心CT设备展开评价,其采购配置阶段评分为47.1分,运行管理阶段评分为37.9分,根据评价标准该CT机综合评价结果为优秀。结论本研究的专家积极程度、权威程度和协调程度均符合标准,构建的大型医用设备全生命周期绩效评价体系具有较高的科学性和可靠性,可以为大型医用设备的精细化管理提供参考。

Objective To construct a performance evaluation system for the whole life cycle of large medical equipment,and to provide reference for the fine management of large medical equipment.Methods Literature review and expert interviews were used to establish the initial indicator pool,then the research team sorted out and discussed the initial indicators and compiled the expert letter questionnaire.The Delphi method was used to consult 40 selected experts in the field of medical equipment management.The whole life cycle performance evaluation system of large medical equipment was established.The index weights were determined by analytic hierarchy process.The empirical analysis was carried out,taking the CT machine of a health examination center in a branch of a grade Ⅲ-A hospital in Qingdao as an example.Results The whole life cycle performance evaluation system of large medical equipment was established,including 4 first-level indicators,12 second-level indicators and 117 third-level indicators.Using this evaluation system,the CT machine of a health examination center in a branch of a grade Ⅲ-A hospital in Qingdao was evaluated.The score of the CT machine in the procurement configuration stage was 47.1,and the score in the operation management stage was 37.9.The comprehensive evaluation result of the CT machine was excellent according to the evaluation criteria.Conclusion The active degree,authority degree and coordination degree of experts in this study are all in line with the standards,and the whole life cycle performance evaluation system constructed for large medical equipment is highly scientific and reliable,which can provide reference for the fine management of large medical equipment.