Araştırma Makalesi
BibTex RIS Kaynak Göster

Study to determine medical imaging devices costs of maintenance and repair: case of a university hospital in turkey

Yıl 2024, , 390 - 397, 30.09.2024
https://doi.org/10.52880/sagakaderg.1463908

Öz

Abstract
Objectives: Unperformed maintenance and repairs cause medical devices to become idle or unusable before their useful life. In this study, it was aimed to determine a standard for maintenance and spare parts expenditures of medical imaging devices. Methods: In the study conducted on nearly 30 medical imaging devices of a university hospital, firstly, the economic life of the devices was determined depending on the intensity of use. It was determined that the expenditures changed in the first five years, the second five years and after the economic life. Expenditures were categorized according to the period and technological level. Results: According to the results obtained, the annual expenditure of medium technology devices varies between 2% and 7% of the current price. For high-tech devices, expenditures vary between 4% and 13%. In the study, the required expenditure rates for the devices according to the technology level were also predicted. Conclusions: It has been determined that the maintenance and repair practices of imaging devices in health institutions in Turkey are inadequate. Managers should closely monitor the inventory of medical imaging devices for effective use, quality service delivery and employee health.

Kaynakça

  • Bektemur, G., Muzoglu, N., Arici, M. A., & Karaaslan, M. K. (2018a). Cost effective management of medical device technologies and role of clinical engineering departments. The Journal of Health Academics, 5(3), 184-191, (in Turkish).
  • Bektemur, G., Muzoglu, N., Arici, M. A., & Karaaslan, M. K. (2018b). Cost analysis of medical device spare parts. Pakistan Journal of Medical Sciences, 34(2), 472. https://doi.org/10.12669/pjms.342.14245.
  • Canadian Association of Radiologists [CAR]. (2013, December). Lifecycle guidance for medical imaging equipment in Canada. https://car.ca/wp-content/uploads/car-lifecycleguidance-summary.pdf.
  • Denjoy, N. (2016). European Coordination Committee of the Radiological, Electromedical, and Healthcare IT Industry: medical imaging equipment age, profile & density.
  • Electronic Public Procurement Platform [EPPP]. (2022, December 19). Tender: 2018/384377, 2019/248074, 2019/308535, 2020/463902, 2020/582159, 2021/143899, 2021/145724, 2021/243156, 2021/263124, 2021/276530, 2021/294336, 2021/353155, 2021/409557, 2021/430239, 2021/496359, 2022/436003, 2022/617563, 2022/853224. https://ekap.kik.gov.tr/EKAP/Ortak/IhaleArama/index.html.
  • European Society of Radiology [ESR]. (2014). Renewal of radiological equipment. Insights into imaging, 5, 543-546. https://doi.org/10.1007/s13244-014-0345-1.
  • Florida Department of Revenue. (2015, November). Life expectancy guidelines. https://floridarevenue.com/property/Documents/lifeguide.pdf.
  • Kara, I., Yildirim, F., Basak, D. Y., Kucuk, H., Turkoglu, M., Aygencel, G., Kati, I. & Karabiyik, L. (2015). Comparison of patient costs in internal medicine and anaesthesiology intensive care units in a tertiary university hospital. Turkish Journal of Anaesthesiology and Reanimation, 43(3), 142-148. https://doi.org/10.5152/TJAR.2015. 81994 (in Turkish).
  • Official Gazette of the Republic of Turkey. (2004, April 28) Tax procedure law general communiqué no: 333. https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=6120& Mevzuat Tur=9&MevzuatTertip=5.
  • Organisation for Economic Co-operation and Development Stat. (2022, September 11). Health Care Utilisation: Diagnostic exams. https://stats.oecd.org/Index.aspx?Theme TreeId=9#.
  • Ozer, A., Ileri, Y. Y. & Bugra, K. (2016). Medical device industry in health care. Hacettepe Journal of Health Administration. 19(2), (in Turkish).
  • Republic of Turkey Ministry of Health. (2019, December 27). Procurement of goods and services related to medical devices. https://shgm.saglik.gov.tr/Eklenti/35796/0/ taramazekikavakli2019-12-27-15-21-42pdf.pdf. (in Turkish).
  • Republic of Turkey Ministry of Health. (2022, November 11). Health statistics yearbook. https: //dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0, (in Turkish).
  • Selvi, Y. (2009). Medical equipment management in health-care organizations. Journal of Management: Istanbul University, Faculty of Business Administration, Institute of Business Economics. 20(63), 99-118. (in Turkish).
  • Soylular, B. & Esatoglu, A. E. (2020). Strategic technology planning process in healthcare services: a case of medical equipment plan based on life span under technological change and deterioration. Hacettepe Journal of Health Administration. 23(2), 219-246 (in Turkish).
  • Temple-Bird, C., Kawohl, W., Lenel, A., & Kaur, M. (2005). How to plan and budget for your healthcare technology. United Kingdom: Teaching-aids At Low Cost.
  • Turkish Court of Accounts. (2005). Performance audit report on the management of medicines, medical consumables and medical devices in hospitals affiliated to the Ministry of Health. Journal of Turkish Court of Accounts. 16(56), 135-144. (in Turkish).

Tıbbi görüntüleme cihazları bakım ve onarım maliyetlerinin belirlenmesine yönelik çalışma: türkiye'deki bir üniversite hastanesi örneği

Yıl 2024, , 390 - 397, 30.09.2024
https://doi.org/10.52880/sagakaderg.1463908

Öz

Öz
Amaç: Yapılmayan bakım-onarımlar, tıbbi cihazların kullanım ömürlerinden önce atıl veya kullanılamaz hale gelmesine neden olmaktadır. Bu çalışmada tıbbi görüntüleme cihazlarının bakım ve yedek parça harcamaları için bir standart belirlenmesi amaçlanmıştır. Yöntem: Bir üniversite hastanesinin 30'a yakın tıbbi görüntüleme cihazı üzerinde yapılan çalışmada öncelikle cihazların kullanım yoğunluğuna bağlı olarak ekonomik ömürleri ortaya konmuştur. Harcamaların ilk beş yıl, ikinci beş yıl ve ekonomik ömür sonrası değiştiği tespit edilmiştir. Harcamalar dönem ve teknolojik seviyeye göre kategorize edilmiştir. Bulgular: Elde edilen sonuçlara göre, orta teknolojiye sahip cihazların yıllık harcaması cari fiyatın %2'si ile %7'si arasında değişmektedir. İleri teknolojiye sahip cihazlar için ise harcamalar %4 ile %13 arasında değişmektedir. Çalışmada teknoloji düzeyine göre cihazlar için yapılması gereken harcama oranları da öngörülmüştür. Sonuç: Türkiye'deki sağlık kuruluşlarının görüntüleme cihazları bakım ve onarım uygulamalarının yetersiz olduğu tespit edilmiştir. Yöneticiler etkin kullanım, kaliteli hizmet sunumu ve çalışan sağlığı için tıbbi görüntüleme cihaz envanterini yakından takip etmelidir.

Kaynakça

  • Bektemur, G., Muzoglu, N., Arici, M. A., & Karaaslan, M. K. (2018a). Cost effective management of medical device technologies and role of clinical engineering departments. The Journal of Health Academics, 5(3), 184-191, (in Turkish).
  • Bektemur, G., Muzoglu, N., Arici, M. A., & Karaaslan, M. K. (2018b). Cost analysis of medical device spare parts. Pakistan Journal of Medical Sciences, 34(2), 472. https://doi.org/10.12669/pjms.342.14245.
  • Canadian Association of Radiologists [CAR]. (2013, December). Lifecycle guidance for medical imaging equipment in Canada. https://car.ca/wp-content/uploads/car-lifecycleguidance-summary.pdf.
  • Denjoy, N. (2016). European Coordination Committee of the Radiological, Electromedical, and Healthcare IT Industry: medical imaging equipment age, profile & density.
  • Electronic Public Procurement Platform [EPPP]. (2022, December 19). Tender: 2018/384377, 2019/248074, 2019/308535, 2020/463902, 2020/582159, 2021/143899, 2021/145724, 2021/243156, 2021/263124, 2021/276530, 2021/294336, 2021/353155, 2021/409557, 2021/430239, 2021/496359, 2022/436003, 2022/617563, 2022/853224. https://ekap.kik.gov.tr/EKAP/Ortak/IhaleArama/index.html.
  • European Society of Radiology [ESR]. (2014). Renewal of radiological equipment. Insights into imaging, 5, 543-546. https://doi.org/10.1007/s13244-014-0345-1.
  • Florida Department of Revenue. (2015, November). Life expectancy guidelines. https://floridarevenue.com/property/Documents/lifeguide.pdf.
  • Kara, I., Yildirim, F., Basak, D. Y., Kucuk, H., Turkoglu, M., Aygencel, G., Kati, I. & Karabiyik, L. (2015). Comparison of patient costs in internal medicine and anaesthesiology intensive care units in a tertiary university hospital. Turkish Journal of Anaesthesiology and Reanimation, 43(3), 142-148. https://doi.org/10.5152/TJAR.2015. 81994 (in Turkish).
  • Official Gazette of the Republic of Turkey. (2004, April 28) Tax procedure law general communiqué no: 333. https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=6120& Mevzuat Tur=9&MevzuatTertip=5.
  • Organisation for Economic Co-operation and Development Stat. (2022, September 11). Health Care Utilisation: Diagnostic exams. https://stats.oecd.org/Index.aspx?Theme TreeId=9#.
  • Ozer, A., Ileri, Y. Y. & Bugra, K. (2016). Medical device industry in health care. Hacettepe Journal of Health Administration. 19(2), (in Turkish).
  • Republic of Turkey Ministry of Health. (2019, December 27). Procurement of goods and services related to medical devices. https://shgm.saglik.gov.tr/Eklenti/35796/0/ taramazekikavakli2019-12-27-15-21-42pdf.pdf. (in Turkish).
  • Republic of Turkey Ministry of Health. (2022, November 11). Health statistics yearbook. https: //dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0, (in Turkish).
  • Selvi, Y. (2009). Medical equipment management in health-care organizations. Journal of Management: Istanbul University, Faculty of Business Administration, Institute of Business Economics. 20(63), 99-118. (in Turkish).
  • Soylular, B. & Esatoglu, A. E. (2020). Strategic technology planning process in healthcare services: a case of medical equipment plan based on life span under technological change and deterioration. Hacettepe Journal of Health Administration. 23(2), 219-246 (in Turkish).
  • Temple-Bird, C., Kawohl, W., Lenel, A., & Kaur, M. (2005). How to plan and budget for your healthcare technology. United Kingdom: Teaching-aids At Low Cost.
  • Turkish Court of Accounts. (2005). Performance audit report on the management of medicines, medical consumables and medical devices in hospitals affiliated to the Ministry of Health. Journal of Turkish Court of Accounts. 16(56), 135-144. (in Turkish).
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma
Yazarlar

Murat Taşer 0000-0001-6871-4171

Şahidi Uzunca 0009-0009-7255-1171

Yayımlanma Tarihi 30 Eylül 2024
Gönderilme Tarihi 2 Nisan 2024
Kabul Tarihi 25 Eylül 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

APA Taşer, M., & Uzunca, Ş. (2024). Study to determine medical imaging devices costs of maintenance and repair: case of a university hospital in turkey. Sağlık Akademisyenleri Dergisi, 11(3), 390-397. https://doi.org/10.52880/sagakaderg.1463908
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