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移动与固定计算机断层扫描及磁共振成像的成本效益:系统评价

Cost Effectiveness of Mobile versus Fixed Computed Tomography and Magnetic Resonance Imaging: A Systematic Review.

作者信息

Mohammadshahi Marita, Alipouri Sakha Minoo, Esfandiari Atefeh, Shirvani Maryam, Akbari Sari Ali

机构信息

Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Health Policy, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.

出版信息

Iran J Public Health. 2019 Aug;48(8):1418-1427.

Abstract

BACKGROUND

Mobile technologies are widely used in healthcare. The purpose of this study was to compare the effectiveness and cost-effectiveness of fixed computed tomography (CT) and magnetic resonance imaging (MRI) with the mobile ones.

METHODS

In this systematic review, PubMed, Cochrane Library, Scopus and CRD database were searched from 1995 to 2015. The data on safety and effectiveness of technologies were extracted from included studies. Because the review showed no significant differences in the performance of mobile CT and MRI compared to the fixed ones, then a cost minimization approach was used to explore the cost-effectiveness of three scenarios.

RESULTS

Twenty two articles were included in the review that showed no statistically significant differences in the performance of mobile MRI and CT scan compared to the fixed ones. The cost minimization approach showed that the third scenario based on purchasing a common mobile MRI and CT scan; and using it by two or more hospitals that are in rational distance from each other is associated with the lowest costs, so it is the most cost-effectiveness strategy.

CONCLUSION

The performance of Mobile CT and mobile MRI is comparable to the fixed ones; and using a combined mobile CT and MRI by two or three hospitals is the most cost-effective approach.

摘要

背景

移动技术在医疗保健领域被广泛应用。本研究的目的是比较固定式计算机断层扫描(CT)和磁共振成像(MRI)与移动式CT和MRI的有效性及成本效益。

方法

在这项系统评价中,检索了1995年至2015年的PubMed、考克兰图书馆、Scopus和CRD数据库。从纳入的研究中提取有关技术安全性和有效性的数据。由于该评价显示移动式CT和MRI与固定式相比在性能上无显著差异,因此采用成本最小化方法来探讨三种方案的成本效益。

结果

该评价纳入了22篇文章,结果显示移动式MRI和CT扫描与固定式相比在性能上无统计学显著差异。成本最小化方法表明,基于购买一台普通移动式MRI和CT扫描,并由相距合理距离的两家或多家医院使用的第三种方案成本最低,因此是最具成本效益的策略。

结论

移动式CT和移动式MRI的性能与固定式相当;两三家医院联合使用移动式CT和MRI是最具成本效益的方法。

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