Establishment and practice of hospital medical consumable admission decision-making system based on expert heuristics
10.3969/j.issn.1672-8270.2024.10.028
- VernacularTitle:基于专家启发的医院医用耗材准入决策体系建立与实践
- Author:
Lei GAO
1
;
Rui MAO
;
Xiaoli HE
;
Yubin YE
;
Jingjing JIA
;
Lin WEN
Author Information
1. 四川省医学科学院·四川省人民医院医学装备部 成都 610072
- Keywords:
Expert heuristics;
Medical consumable admission;
Delphi evaluation model;
Admission decision-making system
- From:
China Medical Equipment
2024;21(10):155-160
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a rapid admission evaluation model for medical consumables of same category,and to achieve a balance between scientificity,efficiency and practicality in the management of medical consumables.Methods:Based on the mini health technology assessment(Mini-HTA)model,combined with expert heuristics,a rapid qualitative analysis of the intended use and technical characteristics of the same category of medical consumables were conducted.Expert opinions were solicited through the Delphi method,and a rapid admission evaluation model of same category of medical consumables was constructed.A total of 80 high-value medical consumables of 10 categories in clinical use in Sichuan Provincial People's Hospital from June 2023 to March 2024 were selected,and the traditional admission process method and expert heuristics optimization method were used to make admission decisions for medical consumables,with 40 high-value medical consumables for each method.The differences in the decision-making process and approval time between the two different admission methods were compared and analyzed.Results:The admission decision-making system indicators of the rapid admission evaluation model of medical consumables of same category included 6 primary indicators of clinical efficacy,reliability,economics,values and aspirations,hospital management and corporate services,and 25 secondary indicators.The approval process for medical consumables admission decision-making using the rapid admission evaluation model of medical consumables of same category had been reduced from 10 in the traditional admission process to 2,and the approval time had been shortened from an average of 7.03 days to 2.43 days.Conclusion:The rapid admission evaluation model for the approval of medical consumables of same category based on expert heuristics can significantly optimize the admission approval process of medical consumables,improve the comprehensiveness and transparency of medical consumables admission decisions,and improve the management efficiency of medical consumables.