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首页> 外文期刊>BMC Medical Informatics and Decision Making >Using the Analytic Hierarchy Process (AHP) to understand the most important factors to design and evaluate a telehealth system for Parkinson's disease
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Using the Analytic Hierarchy Process (AHP) to understand the most important factors to design and evaluate a telehealth system for Parkinson's disease

机译：使用层次分析法（AHP）来了解设计和评估帕金森氏病远程医疗系统的最重要因素

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Background The assessment of a new health technology is a multidisciplinary and multidimensional process, which requires a complex analysis and the convergence of different stakeholders into a common decision. This task is even more delicate when the assessment is carried out in early stage of development processes, when the maturity of the technology prevents conducting a large scale trials to evaluate the cost effectiveness through classic health economics methods. This lack of information may limit the future development and deployment in the clinical practice. This work aims to 1) identify the most relevant user needs of a new medical technology for managing and monitoring Parkinson's Disease (PD) patients and to 2) use these user needs for a preliminary assessment of a specific system called PERFORM, as a case study. Methods Analytic Hierarchy Process (AHP) was used to design a hierarchy of 17 needs, grouped into 5 categories. A total of 16 experts, 6 of them with a clinical background and the remaining 10 with a technical background, were asked to rank these needs and categories. Results On/Off fluctuations detection, Increase wearability acceptance , and Increase self-management support have been identified as the most relevant user needs. No significant differences were found between the clinician and technical groups. These results have been used to evaluate the PERFORM system and to identify future areas of improvement. Conclusions First of all, the AHP contributed to the elaboration of a unified hierarchy, integrating the needs of a variety of stakeholders, promoting the discussion and the agreement into a common framework of evaluation. Moreover, the AHP effectively supported the user need elicitation as well as the assignment of different weights and priorities to each need and, consequently, it helped to define a framework for the assessment of telehealth systems for PD management and monitoring. This framework can be used to support the decision-making process for the adoption of new technologies in PD.
机译：背景技术对新卫生技术的评估是一个多学科，多层面的过程，需要进行复杂的分析，并将不同的利益相关者融合为一个共同的决定。当在开发过程的早期阶段进行评估时，当技术的成熟阻止了通过经典的健康经济学方法进行大规模试验来评估成本效益时，这项任务就变得更加微妙。信息的缺乏可能会限制临床实践的未来发展和部署。这项工作旨在1）确定用于管理和监视帕金森氏病（PD）患者的新医疗技术的最相关用户需求，并2）利用这些用户需求对称为PERFORM的特定系统进行初步评估。 。方法采用层次分析法（AHP）设计17种需求的层次结构，分为5类。总共要求16位专家对这些需求和类别进行排名，其中6位具有临床背景，其余10位具有技术背景。结果开/关波动检测，增加耐磨性和增加自我管理支持已被确定为最相关的用户需求。临床组和技术组之间没有发现显着差异。这些结果已用于评估PERFORM系统并确定未来的改进领域。结论首先，层次分析法（AHP）有助于制定统一的层次结构，整合各种利益相关者的需求，促进讨论和协议成为一个共同的评估框架。此外，AHP有效地支持了用户需求的启发以及对每种需求的不同权重和优先级的分配，因此，它有助于定义评估PD管理和监视的远程医疗系统的框架。该框架可用于支持在PD中采用新技术的决策过程。

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