Analysis of Factors Influencing Decision-Making on the Configuration of Large Medical Equipment in Public Hospitals Based on DEMATEL Method
Jiang Shuai
Dong Xiaoxue
Zhai Yujie
Wang Jing
Ma Rui
Zuo Yibo
Zhao Jinjin
Wang Chengzeng
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.
Keywords：public hospitalslarge medical equipmentallocation decisionsdecision-making trial and evalua-tion laboratory method
Publication Date：2025-10-05
Online Publishing Date：2025-10-21(First online date of this platform, not the publication date of the document)
Pages：5( 1-5 )