OBJECTIVES: ABC-VEN analysis is easy method of clinical and economic analysis on the costs of drug coverage; and important tool for monitoring and ensuring the rational use of medicines. However, this methodology is difficult to apply in assessing the viability of medical equipment procurement (MEP) in hospital, and using combining model of ABC analysis and Multiple criteria decision analysis (MCDA) can be useful tool.

METHODS: We created and approved our own five standardized multiple criteria which present the main results of assessment of the viability of MEP for implementing new health technologies (HTs) and contain the following: 1) Novelty/innovation; 2) Comparative clinical effectiveness and safety; 3) Relevance (demand); 4) Economic effectiveness; 5) Payback period.

Based on these criteria we determine the threshold values of priority for MEP: 1) High priority; 2) Medium priority; 3) Low priority.

RESULTS: Using ABC model and 5 standardized criteria we analyzed all proposals from the hospital units for implementing new HTs connected with MEP for 2018. In total, proposals contained 11 items of ME, among them 3 items were in group A (27%), 2 items – in group B (18%), and 6 items – in group C (55%).

All items were high priority for procurement with the exception of 1 item from group B with medium priority. Items with low priority were not revealed which can be considered as a direct indicator of the operational effectiveness of Hospital-based HTA unit. Exclusion from the procurement plan the ME with a medium priority can reduce hospital costs by 13.5%.

CONCLUSIONS: Combined ABC and MCDA analysis in the process of assessment the viability of MEP can give the opportunity to make comparative assessment of different ME based on standardized criteria; determine the priority for procurement of new ME; avoid the influence of subjective factors on the managerial decision-making in hospital.