Deveaux M, Rousseau J, Marchandise X
Service Associé de Médecine Nucléaire, Hôpital Huriez, C.H.R.U. de Lille.
Rev Epidemiol Sante Publique. 1992;40(1):56-65.
Objective data about the costs of nuclear medicine examinations are scarce and rather conflicting. Authors describe a method quantitating the costs of nuclear medicine investigations. These calculations were applied to a medium-sized nuclear medicine center set up in a teaching hospital. Calculations were as a tarification and followed the rules of monographic studies. They rely on exhaustive evaluation of each expense and precise analysis of their repartition. Average cost of the examination was 1,016 FF but the study reveals that costs varied from 664 to 6,746 FF. It appears that, but the more common investigations, exact costs are poorly related with nomenclature codification and that radiopharmaceutical costs have to be separately dealt with. This method allows to simulate costs-effects of any structure modification before being applied. One of the major feature of such a study is that it depicts a given center at a given time. Although it is to be hoped that the method should be spread, it should be hazardous to generalize its results.
关于核医学检查费用的客观数据稀缺且相互矛盾。作者描述了一种量化核医学检查费用的方法。这些计算应用于一家教学医院设立的中型核医学中心。计算采用定价方式,并遵循专题研究的规则。它们依赖于对每项费用的详尽评估及其分配的精确分析。检查的平均费用为1016法郎,但研究表明费用在664法郎至6746法郎之间波动。似乎除了更常见的检查外,确切费用与命名编码的关联性很差,而且放射性药物费用必须单独处理。这种方法允许在应用之前模拟任何结构调整的成本效益。此类研究的一个主要特点是它描绘了特定时间的特定中心。尽管希望这种方法能够推广,但将其结果一概而论是有风险的。