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本文引用的文献

1
Radiation accidents and incidents. What do we know about the medical management of acute radiation syndrome?辐射事故与事件。我们对急性放射综合征的医疗处理了解多少?
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2
Basic tests in mammography as a tool in quality improvement.乳腺钼靶摄影中的基础检测作为质量改进的一种工具
Rep Pract Oncol Radiother. 2010 Sep 22;15(5):145-52. doi: 10.1016/j.rpor.2010.08.004. eCollection 2010.
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Complex leadership competency in health care: towards framing a theory of practice.医疗保健中的复杂领导能力:构建实践理论
Health Serv Manage Res. 2009 Aug;22(3):101-14. doi: 10.1258/hsmr.2008.008016.
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Current status and future potential of advanced technologies in radiation oncology. Part 1. Challenges and resources.放射肿瘤学中先进技术的现状与未来潜力。第1部分。挑战与资源。
Oncology (Williston Park). 2009 Mar;23(3):279-83.
5
Cost-effectiveness of the modifications in the quality assurance system in radiotherapy in the example of in-vivo dosimetry.放射治疗质量保证系统改进的成本效益:体内剂量学示例。
Phys Med. 2009 Dec;25(4):201-6. doi: 10.1016/j.ejmp.2009.02.001. Epub 2009 Mar 16.
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Randomized prospective trials of innovative radiotherapy technology are necessary.
J Am Coll Radiol. 2009 Jan;6(1):33-7. doi: 10.1016/j.jacr.2008.07.011.
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New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues in radiation oncology.放射治疗中的新技术:确保放射肿瘤学中的患者安全、辐射安全及监管问题。
Health Phys. 2008 Nov;95(5):658-65. doi: 10.1097/01.HP.0000326334.64242.46.
8
Cost-effectiveness analysis and innovation.成本效益分析与创新
J Health Econ. 2008 Sep;27(5):1224-36. doi: 10.1016/j.jhealeco.2008.05.010. Epub 2008 Jun 5.
9
Randomized controlled trials in health technology assessment: overkill or overdue?卫生技术评估中的随机对照试验:是小题大做还是姗姗来迟?
Radiother Oncol. 2008 Feb;86(2):142-7. doi: 10.1016/j.radonc.2008.01.012. Epub 2008 Jan 30.
10
Measurement and pricing of risk in insurance markets.保险市场中风险的度量与定价。
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对放疗基础设施的投资对肿瘤医院的经济状况产生了积极影响。

Investment in radiotherapy infrastructure positively affected the economic status of an oncology hospital.

作者信息

Smigielska Mirella, Milecki Piotr

机构信息

Greater Poland Cancer Centre, Garbary 15 Street, 61 - 866 Poznań, Poland.

Greater Poland Cancer Centre, Garbary 15 Street, 61 - 866 Poznań, Poland ; Department of Electroradiology, University of Medical Sciences, Garbary 15 Street, 61 - 866 Poznań, Poland.

出版信息

Rep Pract Oncol Radiother. 2012 May 18;17(3):151-6. doi: 10.1016/j.rpor.2012.01.010. eCollection 2012.

DOI:10.1016/j.rpor.2012.01.010
PMID:24377017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3863298/
Abstract

BACKGROUND

Radiotherapy is among the most efficient treatment methods of cancer. However, a radiotherapy base needs a substantial financial investment, especially before the beginning of its operation, and in some cases, in developing countries such a huge investment may cause some financial disturbances for a hospital concerned.

AIM

To assess the influence of investments modernizing the radiotherapy base in the period between 2000 and 2007 on the financial condition of the oncology hospital in the region with population of about 3 million.

MATERIAL AND METHODS

Financial reports and medical statistics for the period between 2000 and 2007 from the studied oncology hospital and a recognized staffing model, as well as data on epidemiological situation of the region have been used to calculate the economic effects of financial investment in the radiotherapy base.

RESULTS

The growth of RT therapeutic potential has been driven by two cost-effective investment programmes. The total amount invested in both programmes was PLN 127,191,000. The number of radiotherapy patients treated in the hospital increased from 2301 in 2000 to 4799 in 2007 with a the same number of five therapeutic machines, although all five of them were replaced over that period. Investments modernizing the radiotherapy base lead to a significant increase in depreciation and operating costs, which adversely affects financial results of the hospital.

CONCLUSION

Long term trends showed that investments had positive influence on hospital performance shown both in increased income and larger number of patients treated.

摘要

背景

放射治疗是癌症最有效的治疗方法之一。然而,放疗基地需要大量的资金投入,尤其是在运营初期,在某些情况下,对于发展中国家而言,如此巨大的投资可能会给相关医院带来一些财务困扰。

目的

评估2000年至2007年期间放疗基地现代化投资对该地区一家拥有约300万人口的肿瘤医院财务状况的影响。

材料与方法

利用所研究肿瘤医院2000年至2007年期间的财务报告和医疗统计数据、公认的人员配备模型以及该地区的流行病学情况数据,计算放疗基地财务投资的经济效果。

结果

放疗治疗潜力的增长得益于两个具有成本效益的投资项目。这两个项目的总投资为1.27191亿兹罗提。尽管在此期间五台治疗设备全部更换,但在治疗设备数量相同的情况下,该医院接受放射治疗的患者人数从2000年的2301人增加到了2007年的4799人。放疗基地现代化投资导致折旧和运营成本大幅增加,对医院的财务结果产生了不利影响。

结论

长期趋势表明,投资对医院绩效产生了积极影响,表现为收入增加和治疗患者数量增多。