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- W2170322011 abstract "Many articles have been written about applying decision support systems to clinical tasks, but little has been published about the complex problem of capital equipment decision making in healthcare. This problem has become the domain of health technology assessment experts, but there are few decision support systems reported in the literature. Technology assessment practitioners generally evaluate whether appropriate scienti6c studies exist to justify implementing a technology, or consider the macroeconomic implications that adopting a new technology may have on existing populations, economies, diseases, drugs, procedures, or devices. Following the con6rmation of a technology’s utility, however, the published materials available to assist the individual hospital or health system in their microeconomic health technology assessment (HTA) are very limited. In this study, the analytic hierarchy process is used to support and document the evolution of the multidisciplinary and interdisciplinary process of selecting neonatal ventilators for a new women’s health hospital. Although the best ventilator had the highest purchase price, its safety, clinical and technical features, plus lower operating cost factors led to its high score. This study demonstrates the AHPs ability to facilitate an understanding of the underlying criteria and priorities, and to successfully support the hospital’s purchasing negotiation. For these reasons, the AHP should be considered for use as a decision support tool for future HTA projects. Scope and purpose “Medicine is a science of uncertainty and an art of probability” Sir William Osler (c. 1904). This article describes the use of the Analytic Hierarchy Process (AHP) to perform a microeconomic Health Technology Assessment (HTA) for the evaluation of expensive and complex critical care neonatal ventilators for a new women’s health facility. This facility is to be built by a mid-size suburban teaching hospital that provides all levels of care up through the most severe trauma cases. Neonatal ventilators are specially designed" @default.
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- W2170322011 date "2003-09-01" @default.
- W2170322011 modified "2023-09-27" @default.
- W2170322011 title "Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment" @default.
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- W2170322011 doi "https://doi.org/10.1016/s0305-0548(02)00187-9" @default.
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