Clarke S E, Harding K, Buxton-Thomas M, Shields R
British Nuclear Medicine Society, London.
Nucl Med Commun. 1990 Aug;11(8):527-38. doi: 10.1097/00006231-199008000-00002.
In the light of the control of expenditure and changes in radiopharmaceutical costs, changes in study protocols, new investigation procedures and inappropriate placing in Korner categories, the BNMS Council set up a working party to derive an agreed set of costings for Nuclear Medicine techniques. Using data from three hospitals with additional information from another nine, we have agreed the 1988 cost of individual nuclear medicine procedures in the UK. These figures include staffing (radiopharmacy, nursing, physics, medical including consultant), radiopharmaceuticals and other consumables, indirect costs (secretarial, administrative, portering), variable overheads (service contracts, stationery) and fixed overheads (rates, lighting, heating, building and engineering). Capital costs, equipment and buildings were not included. Because figures include salary and overhead costs they are difficult to compare with the majority of other previous nuclear medicine costings, apart from Bretland et al., or with data for other imaging modalities. Comparison of these costings with Korner schedules shows marked overlap between the Korner groups. Such groups therefore form a poor method of costing nuclear medicine procedures. We propose alternative groupings.
鉴于支出控制、放射性药物成本变化、研究方案变更、新的检查程序以及在科纳分类中的不当归类，英国核医学学会理事会成立了一个工作组，以得出一套商定的核医学技术成本计算方法。利用来自三家医院的数据以及另外九家医院的补充信息，我们已确定了1988年英国各项核医学检查的成本。这些数字包括人员费用（放射性药物部门、护理、物理、医疗包括顾问）、放射性药物及其他耗材、间接成本（秘书、行政、搬运）、可变间接费用（服务合同、文具）和固定间接费用（税费、照明、供暖、建筑和工程）。资本成本、设备和建筑未包括在内。由于这些数字包括薪资和间接费用成本，除了布雷特兰等人的研究外，它们很难与以往大多数其他核医学成本计算结果进行比较，也难以与其他成像方式的数据进行比较。将这些成本计算结果与科纳分类表进行比较，结果显示科纳分类组之间存在明显重叠。因此，此类分类组构成了一种糟糕的核医学检查成本计算方法。我们提出了替代分类方法。
