User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner

Background: The rigorous elicitation of user needs is a crucial step for both medical device design and purchasing. However, user needs elicitation is often based on qualitative methods whose findings can be difficult to integrate into medical decision-making. This paper describes the application of...

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Main Authors: Pecchia, Leandro, Martin, Jennifer L., Ragozzino, Angela, Vanzanella, Carmela, Scognamiglio, Arturo, Mirarchi, Luciano, Morgan, Stephen P.
Format: Article
Published: Biomed Central 2013
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Online Access:https://eprints.nottingham.ac.uk/29447/
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author Pecchia, Leandro
Martin, Jennifer L.
Ragozzino, Angela
Vanzanella, Carmela
Scognamiglio, Arturo
Mirarchi, Luciano
Morgan, Stephen P.
author_facet Pecchia, Leandro
Martin, Jennifer L.
Ragozzino, Angela
Vanzanella, Carmela
Scognamiglio, Arturo
Mirarchi, Luciano
Morgan, Stephen P.
author_sort Pecchia, Leandro
building Nottingham Research Data Repository
collection Online Access
description Background: The rigorous elicitation of user needs is a crucial step for both medical device design and purchasing. However, user needs elicitation is often based on qualitative methods whose findings can be difficult to integrate into medical decision-making. This paper describes the application of AHP to elicit user needs for a new CT scanner for use in a public hospital. Methods: AHP was used to design a hierarchy of 12 needs for a new CT scanner, grouped into 4 homogenous categories, and to prepare a paper questionnaire to investigate the relative priorities of these. The questionnaire was completed by 5 senior clinicians working in a variety of clinical specialisations and departments in the same Italian public hospital. Results: Although safety and performance were considered the most important issues, user needs changed according to clinical scenario. For elective surgery, the five most important needs were: spatial resolution, processing software, radiation dose, patient monitoring, and contrast medium. For emergency, the top five most important needs were: patient monitoring, radiation dose, contrast medium control, speed run, spatial resolution. Conclusions: AHP effectively supported user need elicitation, helping to develop an analytic and intelligible framework of decision-making. User needs varied according to working scenario (elective versus emergency medicine) more than clinical specialization. This method should be considered by practitioners involved in decisions about new medical technology, whether that be during device design or before deciding whether to allocate budgets for new medical devices according to clinical functions or according to hospital department.
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spelling nottingham-294472020-05-04T16:35:36Z https://eprints.nottingham.ac.uk/29447/ User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner Pecchia, Leandro Martin, Jennifer L. Ragozzino, Angela Vanzanella, Carmela Scognamiglio, Arturo Mirarchi, Luciano Morgan, Stephen P. Background: The rigorous elicitation of user needs is a crucial step for both medical device design and purchasing. However, user needs elicitation is often based on qualitative methods whose findings can be difficult to integrate into medical decision-making. This paper describes the application of AHP to elicit user needs for a new CT scanner for use in a public hospital. Methods: AHP was used to design a hierarchy of 12 needs for a new CT scanner, grouped into 4 homogenous categories, and to prepare a paper questionnaire to investigate the relative priorities of these. The questionnaire was completed by 5 senior clinicians working in a variety of clinical specialisations and departments in the same Italian public hospital. Results: Although safety and performance were considered the most important issues, user needs changed according to clinical scenario. For elective surgery, the five most important needs were: spatial resolution, processing software, radiation dose, patient monitoring, and contrast medium. For emergency, the top five most important needs were: patient monitoring, radiation dose, contrast medium control, speed run, spatial resolution. Conclusions: AHP effectively supported user need elicitation, helping to develop an analytic and intelligible framework of decision-making. User needs varied according to working scenario (elective versus emergency medicine) more than clinical specialization. This method should be considered by practitioners involved in decisions about new medical technology, whether that be during device design or before deciding whether to allocate budgets for new medical devices according to clinical functions or according to hospital department. Biomed Central 2013-01-05 Article PeerReviewed Pecchia, Leandro, Martin, Jennifer L., Ragozzino, Angela, Vanzanella, Carmela, Scognamiglio, Arturo, Mirarchi, Luciano and Morgan, Stephen P. (2013) User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner. BMC Medical Informatics and Decision Making, 13 (2). pp. 1-11. ISSN 1472-6947 User needs elicitation; Analytic hierarchy process; AHP; Medical decision-making; Medical device http://www.biomedcentral.com/1472-6947/13/2 doi:10.1186/1472-6947-13-2 doi:10.1186/1472-6947-13-2
spellingShingle User needs elicitation; Analytic hierarchy process; AHP; Medical decision-making; Medical device
Pecchia, Leandro
Martin, Jennifer L.
Ragozzino, Angela
Vanzanella, Carmela
Scognamiglio, Arturo
Mirarchi, Luciano
Morgan, Stephen P.
User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title_full User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title_fullStr User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title_full_unstemmed User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title_short User needs elicitation via analytic hierarchy process (AHP): a case study on a Computed Tomography (CT) scanner
title_sort user needs elicitation via analytic hierarchy process (ahp): a case study on a computed tomography (ct) scanner
topic User needs elicitation; Analytic hierarchy process; AHP; Medical decision-making; Medical device
url https://eprints.nottingham.ac.uk/29447/
https://eprints.nottingham.ac.uk/29447/
https://eprints.nottingham.ac.uk/29447/