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Analytic Hierarchy Process 기법을 활용한 개인용 체외진단의료기기 분류기준에 대한 우선순위 연구
김설인,편도윤,정용익,조자현,노가야,배그린,권혜영 한국보건행정학회 2023 보건행정학회지 Vol.33 No.2
Background: The coronavirus disease 2019 pandemic has been challenging the healthcare service, i.e., the vitalization of the pointof care accompanying self-testing in vitro diagnostic medical devices (IVDs). This study aims to suggest priority criteria to classifyself-testing IVDs using the analytic hierarchy process technique. Methods: Two dimensions of the characteristics embedded in the IVDs and the diseases to be diagnosed with self-testing IVDs wereparallelly considered and independently investigated. In addition, three expert panels consisting of laboratory medical doctors(n=11), clinicians (n=10), and citizens (n=11) who have an interest in the selection of self-testing IVDs were asked to answer toquestionnaires. Priorities were derived and compared among each expert panel. Results: First of all, ease of specimen collection (0.241), urgency of the situation (0.224), and simplicity of device operation (0.214)were found to be the most important criteria in light of the functional characteristics of self-testing IVDs. Medical doctors valued theease of specimen collection, but the citizen’s panel valued self-management of the disease more. Second, considering thecharacteristics of the diseases, the priority criteria were shown in the order of prevalence of diseases (0.421), fatality of disease(0.378), and disease with stigma (0.201). Third, medical doctors responded that self-testing IVDs were more than twice as suitablefor non-communicable diseases as compared to communicable diseases (0.688 vs. 0.312), but the citizen’s group responded thatself-testing IVDs were slightly more suitable for infectious diseases (0.511 vs. 0.489). Conclusion: Our findings suggested that self-testing IVDs could be primarily classified as the items for diagnosis ofnon-communicable diseases for the purpose of self-management with easy specimen collection and simple operation of devices,taking into account the urgency of the situation as well as prevalence and fatality of the disease.
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