Analysis of Factors Influencing Decision-Making on the Configuration of Large Medical Equipment in Public Hospitals Based on DEMATEL Method
- VernacularTitle:基于DEMATEL法的公立医院大型医用设备购置决策影响因素分析
- Author:
Shuai JIANG
1
;
Xiaoxue DONG
;
Yujie ZHAI
;
Jing WANG
;
Rui MA
;
Yibo ZUO
;
Jinjin ZHAO
;
Chengzeng WANG
Author Information
1. 郑州大学第一附属医院 河南 郑州 450052;河南省医院管理研究院 河南 郑州 450052
- Publication Type:Journal Article
- Keywords:
public hospitals;
large medical equipment;
allocation decisions;
decision-making trial and evalua-tion laboratory method
- From:
Chinese Hospital Management
2025;45(10):1-5
- CountryChina
- Language:Chinese
-
Abstract:
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.
