Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Health Economics Department, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Biomed Eng Online. 2021 May 21;20(1):49. doi: 10.1186/s12938-021-00885-5.
Effective maintenance management of medical equipment is one of the major issues for quality of care, for providing cost-effective health services and for saving scarce resources. This study aimed to develop a comprehensive checklist for assessing the medical equipment maintenance management (MEMM) in the Iranian hospitals.
This is a multi-methods study. First, data related to factors which affect the assessment of MEMM were collected through a systematic review in PubMed, ProQuest, Scopus, Embase, and web of science without any time limitation until October 2015, updated in June 2017. Then, we investigated these factors affecting using document review and interviews with experts in the Iranian hospitals. In the end, the results of the first and second stages were combined using content analysis and the final checklist was developed in a two-round Delphi.
Using a combination of factors extracted from the systematic and qualitative studies, the primary checklist was developed in the form of assessment checklists in seven dimensions. The final checklist includes 7 dimensions and 19 sub-categories: "resources = 3," "quality control = 3," "information bank = 4," "education = 1," "service = 3," "inspection and preventive maintenance = 2" and "design and implementation = 3."
Developing an assessment checklist for MEMM provide a comprehensive framework for the proper implementation of accurate assessment of medical equipment maintenance. This checklist can be used to improve the profitability of health facilities and the reliability of medical equipment. In addition, it is implicated in the decision-making in support of selection, purchase, repair and maintenance of medical equipment, especially for capital equipment managers and medical engineers in hospitals and also for the assessment of this process.
有效的医疗设备维护管理是医疗质量、提供具有成本效益的卫生服务和节约稀缺资源的关键问题之一。本研究旨在为伊朗医院的医疗设备维护管理(MEMM)评估开发一个综合检查表。
这是一个多方法研究。首先,通过在PubMed、ProQuest、Scopus、Embase 和 web of science 中进行系统综述,收集与影响 MEMM 评估的因素相关的数据,没有时间限制,直到 2015 年 10 月,在 2017 年 6 月更新。然后,我们通过文献回顾和对伊朗医院专家的访谈调查了这些影响因素。最后,使用内容分析将第一阶段和第二阶段的结果结合起来,并在两轮德尔菲法中开发最终检查表。
使用从系统和定性研究中提取的因素组合,以七个维度的评估检查表形式开发了初步检查表。最终检查表包括 7 个维度和 19 个子类别:“资源=3”、“质量控制=3”、“信息库=4”、“教育=1”、“服务=3”、“检查和预防性维护=2”和“设计和实施=3”。
开发 MEMM 评估检查表为准确评估医疗设备维护提供了一个全面的框架。该检查表可用于提高卫生设施的盈利能力和医疗设备的可靠性。此外,它还可以为支持医疗设备的选择、采购、维修和维护的决策提供依据,特别是对医院的资本设备经理和医疗工程师,以及对这一过程的评估。