Chakravarty A, Naware S S
Commanding Officer, 179 MH c/o 99 APO.
Commanding Officer AFMSD, Pune.
Med J Armed Forces India. 2008 Jan;64(1):46-9. doi: 10.1016/S0377-1237(08)80146-3. Epub 2011 Jul 21.
In a developing country with limited resources, it is important to utilize the total cost visibility approach over the entire life-cycle of the technology and then analyse alternative options for acquiring technology.
The present study analysed cost-effectiveness of an "In-house" magnetic resonance imaging (MRI) scan facility of a large service hospital against outsourcing possibilities. Cost per unit scan was calculated by operating costing method and break-even volume was calculated. Then life-cycle cost analysis was performed to enable total cost visibility of the MRI scan in both "In-house" and "outsourcing of facility" configuration. Finally, cost-effectiveness analysis was performed to identify the more acceptable decision option.
Total cost for performing unit MRI scan was found to be Rs 3,875 for scans without contrast and Rs 4,129 with contrast. On life-cycle cost analysis, net present value (NPV) of the "In-house" configuration was found to be Rs-(4,09,06,265) while that of "outsourcing of facility" configuration was Rs-(5,70,23,315). Subsequently, cost-effectiveness analysis across eight Figures of Merit showed the "In-house" facility to be the more acceptable option for the system.
Every decision for acquiring high-end technology must be subjected to life-cycle cost analysis.
在一个资源有限的发展中国家，在技术的整个生命周期内采用总成本可视化方法，然后分析获取技术的替代方案非常重要。
本研究分析了一家大型服务医院的“内部”磁共振成像（MRI）扫描设备相对于外包可能性的成本效益。通过作业成本法计算单位扫描成本，并计算盈亏平衡点。然后进行生命周期成本分析，以实现MRI扫描在“内部”和“设备外包”配置下的总成本可视化。最后，进行成本效益分析，以确定更可接受的决策选项。
发现无造影剂扫描的单位MRI扫描总成本为3875卢比，有造影剂扫描的总成本为4129卢比。在生命周期成本分析中，“内部”配置的净现值（NPV）为-40906265卢比，而“设备外包”配置的净现值为-57023315卢比。随后，通过八项绩效指标进行的成本效益分析表明，“内部”设备是该系统更可接受的选择。
每一项获取高端技术的决策都必须进行生命周期成本分析。
