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基于真实世界数据多维度评估CT设备应用价值的研究OACSTPCD

Study on the assessment of application value of CT equipment from multi-dimension based on real world data

中文摘要英文摘要

目的:基于真实世界数据从多维度对CT设备进行全生命周期及运行状况价值评估,量化医疗设备的性能、运行状况、效益分析等,以助力医院掌握CT设备运行状况.方法:从真实世界数据角度出发,收集2015-2019年南京大学医学院附属鼓楼医院在用的5台CT设备(分别编号为A型、B型、C型、D型和E型)近4年运行期间的经济效益、计量、性能数据,A型、B型和C型均为进口CT设备,其中A型、B型两台型号相同;D型和E型均为国产CT设备.使用层次分析法(AHP)分配各数据的权重,形成有效的多维度评价体系.结果:层次权重分配矩阵的一致性比率(CR)值为0.042<0.1,满足一致性检验.A型、B型、C型、D型和E型5台CT设备的综合价值评分分别为68.10分、30.35分、39.50分、60.99分和39.76分.使用不同环境的A型、B型两台相同型号进口CT存在明显差异.D型国产CT设备得分高于B、C两型号进口CT.结论:在适宜的使用环境下,国产CT设备可以替代进口设备.AHP可运用于CT设备的价值评估.

Objective:To assess the values of computed tomography(CT)equipment in whole life cycle and operation status from multi-dimension based on real world data,and to quantify the performance,operation status,and benefit analysis of medical equipment,so as to assist to grasp the operation status of CT equipment for hospital.Methods:Depended on the viewpoint of real-world data,economic benefits,metrology and performance data of 5 pieces of CT equipment,which included type A,type B,type C,type D and type E,used in hospitals in the last 4 years were collected.Type A,type B and type C were all imported CT equipment,and type A and type B were the same model.Both type D and type E were domestic CT equipment.The analytic hierarchy process(AHP)was used to assign the weights of each data,and form effectively multi-dimensional evaluation system.Results:The value of consistency ratio(CR)of the hierarchical weight allocation matrix was 0.042 that was less than 0.1,which met the requirement of consistency test.The scores of the comprehensive values the 5 pieces of CT equipment of type A,type B,type C,type D and type E were respectively 68.10,30.35,39.50,60.99 and 39.76.There was a significant difference between the two pieces of imported CT equipment of type A and type B of the same model in different use environments.The score of type D of domestic CT equipment was higher than those of the type B and type C of imported CT equipment,respectively.Conclusion:Under suitable use environments,domestic CT equipment can replace imported equipment.The AHP method can be used in the assessment of CT equipment value.

徐志扬;杨玉志;陈健;邱春冬

南京大学医学院附属鼓楼医院医用物资保障处 南京 210008

预防医学

层次分析法(AHP)真实世界数据全生命周期CT设备

Analytic hierarchy process(AHP)Real world dataWhole life cycleComputed tomography(CT)

《中国医学装备》 2024 (008)

13-17 / 5

10.3969/j.issn.1672-8270.2024.08.003

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