MULTICRITERIA DECISION ANALYSIS: A MULTIFACETED APPROACH TO MEDICAL EQUIPMENT MANAGEMENT
研究了多准则决策分析方法在资源有限环境下医疗设备管理中的应用，重点分析了层次分析法等三种方法，发现层次分析法最适合大型医疗设备的选择，能减少不确定性并提高采购效率。
Selecting medical equipment is a complex multidisciplinary task requiring mathematical tools, considering associated uncertainties. This paper offers an in-depth study of multiple-criteria decision analysis (MCDA) methods to identify the most appropriate ones for performing management tasks in resource-limited settings. The chosen articles were divided into three topics: evaluation of projects and equipment, selection of projects and equipment, and development of medical devices. Three methods (analytic hierarchy process [AHP], multi-attribute utility theory and elimination and choice expressing reality) were selected for detailed analyses of their application for medical equipment management. Twenty-one work using MCDA, artificial neural networks, human factors engineering, and value analysis were analysed in the framework of medical equipment management. The important aspects of the procedure were described, highlighting their advantages and disadvantages. It was determined that the AHP approach corresponds to all defined criteria for selecting large medical equipment. Managing large medical equipment using MCDA will reduce uncertainties, and provide a rational selection and purchase of the most efficient equipment in resource-limited settings. The direction for improving the AHP method was determined.