非临床医院服务评估的多标准决策分析:方法和案例研究

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Operations Research for Health Care Pub Date : 2019-12-01 DOI:10.1016/j.orhc.2018.08.002
Irene Lasorsa , Elio Padoano , Sara Marceglia , Agostino Accardo
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引用次数: 7

摘要

支持临床活动的非临床医院服务,如消毒服务和临床工程,是医疗保健领域的一项重要技术资产,需要不断改进,以减轻经济负担和提高质量。在医疗保健设施中选择最有效的医疗保健服务是一个多标准决策问题,经典的卫生技术评估主要关注药物、疫苗和医疗设备,无法轻易解决。在这里,我们提出了一种基于多标准决策分析的方法,允许对非临床医院服务进行全面评估,并支持在特定环境中选择最合适的解决方案。该方法涉及两个不同的专家小组:第一个小组包括国际专业人员,目的是选择与目标服务有关的评价标准;第二个小组是一个当地小组,其成员了解特定医疗机构的需求和特点。这种方法使最后的决策者能够考虑到环境的变化和限制,但审查国际公认的标准是有意义的。拟议的方法在意大利地方卫生当局的实际情况下进行了测试,是通用的,可以应用于任何情况,甚至在医疗保健领域之外,特别是如果文献中的数据不足以与不同环境中的类似服务进行比较。
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Multi-criteria decision analysis for the assessment of non-clinical hospital services: Methodology and case study

Non-clinical hospital services to support clinical activities, such as the sterilization service and clinical engineering, are an important technology asset in healthcare, and require constant improvement aimed to reduce economic burden and increase quality. The selection of the most effective healthcare service to adopt in a healthcare facility is a multi-criteria decision problem that classical Health Technology Assessment, being mostly focused on medicines, vaccines and medical devices, cannot easily address.

Here we present a methodology based on Multi-Criteria Decision Analysis allowing a full assessment of non-clinical hospital services and supporting the selection of the most suitable solution in a certain environment.

The methodology involves two different panels of experts: the first one includes international professionals and is aimed at selecting the assessment criteria that are relevant to the target service; the second one is a local panel whose members know the needs and peculiarities of the specific healthcare facility. This approach allows the final decision makers to take into account changes and constraints of their environment, but examining criteria that are internationally recognized as of interest. The proposed methodology, tested in a real context of an Italian Local Health Authority, is versatile and can be applied in any context, even out of the healthcare domain, especially if data in the literature are not sufficient to allow comparisons with similar services in different settings.

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来源期刊
Operations Research for Health Care
Operations Research for Health Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.90
自引率
0.00%
发文量
9
审稿时长
69 days
期刊最新文献
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