Comprehensive application and case study of evidence-based grading thought in the evaluation of new equipment in a public hospital_West China Medical Journal

Authors：

TIAN Yan ,  YANG Cui , LIU Wanli , LIU Hangjiang

Operation Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Cui, Email: yangcui@wchscu.cn

Keywords：

Evidence-based grading thought; New-equipment evaluation; Multi-disciplinary team

DOI：

10.7507/1002-0179.201905134

Video：

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The deep integration of modern technology and medical development promotes the change of medical and health management environment. As an important part of hospital medical and health decision-making process, the evaluation and access of medical equipment and consumables need scientific evidence-based evaluation system. This paper introduces a new-equipment evaluation model created by the multi-disciplinary evaluation team of West China Hospital of Sichuan University under the guidance of evidence-based ideas and methods. This model is suitable for the Chinese national conditions and easy to operate.

Citation： TIAN Yan, YANG Cui, LIU Wanli, LIU Hangjiang. Comprehensive application and case study of evidence-based grading thought in the evaluation of new equipment in a public hospital. West China Medical Journal, 2019, 34(6): 673-677. doi: 10.7507/1002-0179.201905134 Copy

1.	蒋红卫, 张曙光, 张春霞, 等. 基于循证的医疗设备质量管理模式探讨. 医疗卫生装备, 2007, 28(11): 44-45.
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4.	卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8): 927-932.
5.	高琦, 王娜, 姜宝法. 循证卫生决策网络及其研究进展. 中国卫生事业管理, 2007, 232(10): 659-661.
6.	Atkins D, Briss PA, Eccles M, et al. Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new system. BMC Health Serv Res, 2005, 5(1): 25.
7.	禹正杨, 郑树森, 李幼平, 等. 浅谈循证医学模式对医疗决策及医院管理的影响. 中华医院管理杂志, 2004, 20(11): 675-677.
8.	Pisano ED, Gatsonis C, Hendrick E, et al. Diagnostic performance of digital versus film mammography for breast-cancer screening. N Engl J Med, 2005, 353(17): 1773-1783.
9.	Radhakrishna S. Breast diseases: Imaging and clinical management. New Delhi: Springer, 2015: 213-219.
10.	Bundred SM, Maxwell AJ, Morris J, et al. Randomized controlled trial of stereotactic 11-G vacuum-assisted core biopsy for the diagnosis and management of mammographic microcalcification. Br J Radiol, 2016, 89(1058): 20150504.
11.	Esen G, Tutar B, Uras C, et al. Vacuum-assisted stereotactic breast biopsy in the diagnosis and management of suspicious microcalcifications. Diagn Interv Radiol, 2016, 22(4): 326-333.
12.	Fan L, Strasser-Weippl K, Li JJ, et al. Breast cancer in China. Lancet Oncol, 2014, 15(7): e279-e289.
13.	李铁, 贾彩玲. 乳腺X线联合麦默通微创旋切系统在乳腺内微小钙化定位活检的应用. 广西中医药大学学报, 2016, 19(2): 66-67.
14.	邹燕鹏, 孙宇, 李瑞香, 等. 全数字化乳腺X线立体定位系统联合麦默通微创旋切活检诊断乳腺肿瘤的临床价值. 肿瘤药学, 2012, 2(4): 309-311.
15.	申龙河, 金日. 乳腺钼靶X线摄影及乳腺微小钙化灶定位活检在触诊阴性乳腺疾病诊治中的临床意义. 中国医药指南, 2008, 6(3): 12-14.
16.	刘碧华, 郑晓林, 李晏, 等. X线立体定位穿刺活检对不可触及乳腺病变病理诊断准确性的分析. 中国CT和MRI杂志, 2015, 13(7): 53-56.
17.	于京杰, 陈锐华, 汤黎明, 等. 医疗设备的购置管理. 中国医疗设备, 2007, 22(5): 61-63.

1. 蒋红卫, 张曙光, 张春霞, 等. 基于循证的医疗设备质量管理模式探讨. 医疗卫生装备, 2007, 28(11): 44-45.
2. 李幼平, 王莉, 文进. 注重证据, 循证决策. 中国循证医学杂志, 2008, 8(1): 1-3.
3. 陈耀龙, 李幼平, 杜亮, 等. 医学研究中证据分级和推荐强度的演进. 中国循证医学杂志, 2008, 8(2): 127-133.
4. 卫茂玲, 刘鸣. 中国临床指南循证制定的方法学现状分析. 中国循证医学杂志, 2013, 13(8): 927-932.
5. 高琦, 王娜, 姜宝法. 循证卫生决策网络及其研究进展. 中国卫生事业管理, 2007, 232(10): 659-661.
6. Atkins D, Briss PA, Eccles M, et al. Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new system. BMC Health Serv Res, 2005, 5(1): 25.
7. 禹正杨, 郑树森, 李幼平, 等. 浅谈循证医学模式对医疗决策及医院管理的影响. 中华医院管理杂志, 2004, 20(11): 675-677.
8. Pisano ED, Gatsonis C, Hendrick E, et al. Diagnostic performance of digital versus film mammography for breast-cancer screening. N Engl J Med, 2005, 353(17): 1773-1783.
9. Radhakrishna S. Breast diseases: Imaging and clinical management. New Delhi: Springer, 2015: 213-219.
10. Bundred SM, Maxwell AJ, Morris J, et al. Randomized controlled trial of stereotactic 11-G vacuum-assisted core biopsy for the diagnosis and management of mammographic microcalcification. Br J Radiol, 2016, 89(1058): 20150504.
11. Esen G, Tutar B, Uras C, et al. Vacuum-assisted stereotactic breast biopsy in the diagnosis and management of suspicious microcalcifications. Diagn Interv Radiol, 2016, 22(4): 326-333.
12. Fan L, Strasser-Weippl K, Li JJ, et al. Breast cancer in China. Lancet Oncol, 2014, 15(7): e279-e289.
13. 李铁, 贾彩玲. 乳腺X线联合麦默通微创旋切系统在乳腺内微小钙化定位活检的应用. 广西中医药大学学报, 2016, 19(2): 66-67.
14. 邹燕鹏, 孙宇, 李瑞香, 等. 全数字化乳腺X线立体定位系统联合麦默通微创旋切活检诊断乳腺肿瘤的临床价值. 肿瘤药学, 2012, 2(4): 309-311.
15. 申龙河, 金日. 乳腺钼靶X线摄影及乳腺微小钙化灶定位活检在触诊阴性乳腺疾病诊治中的临床意义. 中国医药指南, 2008, 6(3): 12-14.
16. 刘碧华, 郑晓林, 李晏, 等. X线立体定位穿刺活检对不可触及乳腺病变病理诊断准确性的分析. 中国CT和MRI杂志, 2015, 13(7): 53-56.
17. 于京杰, 陈锐华, 汤黎明, 等. 医疗设备的购置管理. 中国医疗设备, 2007, 22(5): 61-63.

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Comprehensive application and case study of evidence-based grading thought in the evaluation of new equipment in a public hospital

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