Stehr H
Siemens AG, Bereich Medizinische Technik, Erlangen.
Aktuelle Radiol. 1991 Sep;1(5):271-6.
In the Federal Republic of Germany, the amount spent on investments in electromedical equipment and systems has remained constant at 0.7% of total health expenditure over the last 15 years. One-fifth of this sum is used for large medico-technical systems such as CT scanners, cardioangiography systems or shock-wave lithotriptors. Expenditure on this category of equipment, including investments and total application costs, amounts to 2 billion DM. This sum also amounts to 0.7% of total health expenditure, or 1.5% of the volume of the statutory health insurance schemes. This paper contains evaluation from various countries showing that the correct implementation of such high-performance units in diagnosis and therapy results in considerable savings. The cost-reducing effects can nevertheless be over-compensated by additional applications carried out due to the specific advantages of these technologies. However, the growing utilisation indicates improved and more economic medical care of the population.
在德意志联邦共和国,过去15年里用于电子医疗设备和系统的投资金额一直保持在占卫生总支出的0.7%。这笔资金的五分之一用于大型医疗技术系统,如CT扫描仪、心血管造影系统或冲击波碎石机。这类设备的支出,包括投资和总应用成本,达20亿德国马克。这笔金额也占卫生总支出的0.7%,或法定医疗保险计划金额的1.5%。本文包含来自各国的评估,表明在诊断和治疗中正确使用此类高性能设备可带来可观的节省。然而,由于这些技术的特定优势而进行的额外应用可能会抵消成本降低的效果。不过,利用率的不断提高表明对民众的医疗护理得到了改善且更加经济。