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Rational operation of MRI equipment in university hospitals in the Czech Republic


The use of the MRI systems in healthcare facilities is expanding based on the following observations:
1) patients are not exposed to ionizing radiation during MRI examinations (as opposed to computed tomography [CT]) and 2) the imaging options available are greater with the use of the MRI than with the x-ray or CT. Due to the high acquisition and operating costs of an MRI system, it is necessary to pay special attention to the economic components of MRI use. The following recommendations are provided for the rational use of MRI systems in University Hospitals, and are based on data originating from one hospital in particular. A detailed analysis of the economics involved with operating an MRI system was made, and through this analysis parameters were formulated which describe the financial side of MRI operation. This research was done in the context of the reimbursement mechanism of the Czech Republic, and contains the calculations and a complete costs and break-even points for each MRI examination. The results are developed models for the reimbursement of an MRI in the Czech Republic, and particular recommendations for the rational use of an MRI in faculty hospital-type facilities.

Keywords:
operation of MRI, management of medical equipment, management of university hospitals, rational operation


Autoři: Ilya Ivlev;  Lucie Korábová;  Jakub Vacek;  Peter Kneppo
Působiště autorů: Kladno, Czech Republic ;  Department of Biomedical Technology, Czech Technical University in Prague
Vyšlo v časopise: Lékař a technika - Clinician and Technology No. 1, 2014, 44, 19-25
Kategorie: Původní práce

Souhrn

The use of the MRI systems in healthcare facilities is expanding based on the following observations:
1) patients are not exposed to ionizing radiation during MRI examinations (as opposed to computed tomography [CT]) and 2) the imaging options available are greater with the use of the MRI than with the x-ray or CT. Due to the high acquisition and operating costs of an MRI system, it is necessary to pay special attention to the economic components of MRI use. The following recommendations are provided for the rational use of MRI systems in University Hospitals, and are based on data originating from one hospital in particular. A detailed analysis of the economics involved with operating an MRI system was made, and through this analysis parameters were formulated which describe the financial side of MRI operation. This research was done in the context of the reimbursement mechanism of the Czech Republic, and contains the calculations and a complete costs and break-even points for each MRI examination. The results are developed models for the reimbursement of an MRI in the Czech Republic, and particular recommendations for the rational use of an MRI in faculty hospital-type facilities.

Keywords:
operation of MRI, management of medical equipment, management of university hospitals, rational operation


Zdroje

[1] Zlámal, J., Bellová, J. Ekonomika zdravotnictví. Brno: Nconzo, 2005. str. 206. ISBN 80-7013-429-1.

[2] Gladkij, I. Management ve zdravotnictví. Brno: Computer Press, 2003. p. 380. ISBN 80-7226-996-8.

[3] Macík K. Kalkulace a rozpočetnictví. Vyd. 2. Praha: Vydavatelství ČVUT, 2002. p. 191. ISBN 80-010-2609-4.

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[5] Gupta, P., Parmar, N. Costing a hospital service product: Marginal Vs absorption costing. Medical Journal Armed Forces India 2001, vol. 57, no. 3, p. 230–233.

[6] Swan, T. et al. Direct Cost Analysis of Intensive Care Unit Stay in Four European Countries: Applying a Standardized Costing Methodology. Value in Health, 2012, vol. 15, no. 1, p. 81–86.

[7] William F, et al. The ISPOR Good Practices for Quality Improvement of Cost-Effectiveness Research Task Force Report. Value in Health, 2009, vol. 12, no. 8, p. 1086–99.

[8] Tsorakidis, N., et al. Break-Even Analysis: Business, 2009. ISBN: 978-87-7681-098-4.

[9] Burton, A., Billingham L. J, Bryan S. Cost-effectiveness in clinical trials: using multiple imputation to deal with incomplete cost data. Clinical Trials, 2007, vol. 4, no. 2, p. 154–61.

[10] Lioui, A., Time consistent vs. time inconsistent dynamic asset allocation: Some utility cost calculations for mean variance preferences. Journal of Economic Dynamics and Control, 2013, vol. 37, no. 5, p. 1066–96.

Štítky
Biomedicína
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