Keywords
Consistency evaluation
Analytic hierarchy process
Delphi method
Full life cycle
Submitted : 2025-12-16
Accepted : 2025-12-31
Published : 2026-01-15
Abstract
To break the "import-only" tendency of medical institutions towards medium and high-end domestic medical equipment, this study, based on health technology assessment, value-based healthcare and the full life cycle theory, constructs a consistency evaluation system for medium and high-end domestic and imported medical equipment. Through two rounds of Delphi expert consultation (n=19), the analytic hierarchy process was used to determine the weights of the indicators, and a final evaluation system was formed, which includes four dimensions of economy, technology, clinical adaptability, and full life cycle, as well as 25 secondary indicators. This system innovatively integrates multi-source evaluation theories and establishes a four-dimensional evaluation model covering technological breakthroughs, clinical value, cost control and risk management, providing a scientific decision-making tool for the substitution of domestic medical equipment for imported ones.
References
Zheng L Q, Yang K C, 2014, Why Study Consistency Instead of Effectiveness?. China Audio-Visual Education, (09): 20-23+33.
Liu Y N, Qiao L L, Li D L, 2022, Comparative Study on the Benefits of Domestic and Imported Common Equipment in Secondary and Tertiary Public Hospitals in Liaoning Province. Chinese Hospitals, 26(4): 43-46.
Liu Y N, Jia X P, Li S, 2021, Evaluation and Analysis of Satisfaction with Domestic and Imported CT Based on the Fuzzy Comprehensive Evaluation Method. Chinese Hospital Management, 41(6): 83-86.
Xu Z Y, Yang Y Z, Chen J, 2024, Research on Multidimensional Evaluation of the Application Value of CT Equipment Based on Real-World Data. China Medical Equipment, 21(8): 13-17.
Feng H B, Mo Z W, Zhuang L T, 2024, Research on the Management Status and Analysis of Domestic and Imported Medical Devices in a Tertiary Hospital. China Medical Device Information, 30(17): 65-67.
Yang M M, 2022, Comparative Study on the Management and Usage Status of Domestic and Imported Medical Devices in a Tertiary Hospital. Modern Instruments & Medical Care, 28(1): 38-41.
Holey E A, Feeley I L, Dixon J, 2007, An exploration of the use of simple statistics to measure consensus and stability in Delphi studies. BMC Medical Research Methodology, 7: 52.
O’Rourke B, Oortwijn W, Schuller T, 2020, The new definition of health technology assessment: a milestone in international collaboration. International Journal of Technology Assessment in Health Care, 36(3): 187-190.
Porter M E, Teisberg E O,, 2006 Redefining Health Care: Creating Value-Based Competition on Results. Boston: Harvard Business Press.
Huang Yingna, Zhang Tianzhu, Zhang Xihui, 2005, The significance and theoretical basis of life cycle cost assessment. Ecological Economy, (2): 75-76.
Chen Huimin, 2025, A brief analysis of the life cycle management methods of medical equipment from the perspective of cost control. China Plant Engineering, (10): 58-60.
Xu Jun, Zhang Jinhua, Luo Ren, 2010, Application research of the Delphi method in screening the sub-health evaluation index system. Chinese Journal of Behavioral Medicine and Brain Science, 19(06): 562-565.
Murphy M K, Black N A, Lamping D L, 1998, Consensus development methods, and their use in clinical guideline development. Health Technology Assessment, 2(3): 1-88.
Hasson F, Keeney S, MckennaA H, 2000, Research guidelines for the Delphi survey technique. Journal of Advanced Nursing, 32(4): 1008-1015.