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购置新的飞利浦Affiniti 30型血管彩色多普勒超声设备——降低心脏外科患者治疗成本效益分析

Acquisition of New Philips Affiniti 30 Vascular Color Doppler Ultrasound Device - Cost Benefit Analysis to Reduce Cardiosurgical Patients' Treatment.

作者信息

Karic Alen, Oprasic-Dzordic Adisa, Busevac Ervin, Krajnovic Alma, Naser Nabil, Masic Izet

机构信息

Department of Cardiovascular Surgery, Clinical Center of University of Sarajevo,Sarajevo, Bosnia and Herzegovina.

Privatna zdravstvena ustanva poliklinika Medicom, Zenica, Bosnia and Herzegovina.

出版信息

Mater Sociomed. 2023 Mar;35(1):65-72. doi: 10.5455/msm.2023.35.65-72.

Abstract

BACKGROUND

Cerebrovascular accidents (CVI) are considered the second most serious complication in cardiac surgery patients with a frequency of 10%. By preventing complications of surgical treatment, using a Color Doppler ultrasound (CDU) device, in the population of cardiac surgery patients, the unplanned costs of prolonged postoperative treatment would be reduced.

OBJECTIVE

To prove that the acquisition and use of the newly developed CDU device "Affinit 30" is completely economical, profitable and medically justified.

METHODS

Numerical parameters of the treatment of cardiovascular patients were analyzed (number of procedures, number of days in the intensive care unit, cost of additional consultative services of the clinic for radiology and neurology), and the calculated economic value of the potential investment, as well as the cost of preventing surgical complications, by purchasing and installing a new modern CDU device.

RESULTS

The profitability of the investment was assessed using the economic parameters Net Present Value (NPV) of the investment, Internal rate of return (IRR) and Profitability Index (PI). A mathematical calculation with the given parameters yields NPV = 948,850 KM and IRR of 273% when applied to the given parameters. The PI value is 12.6, which matches the previously calculated NPV and IRR values.

CONCLUSION

The acquisition and use of the newly developed CDU device "Affinit 30" is economically profitable and medically justified. This is shown by the calculated values of the economic parameters Net Present Value of the investment (NPV), Internal rate of return (IRR) and the Profitability Index (PI).

摘要

背景

脑血管意外(CVI)被认为是心脏手术患者中第二严重的并发症,发生率为10%。通过使用彩色多普勒超声(CDU)设备预防心脏手术患者群体中的手术治疗并发症,可降低术后延长治疗的意外费用。

目的

证明新开发的CDU设备“Affinit 30”的购置和使用在经济上完全可行、有利可图且在医学上合理。

方法

分析心血管患者治疗的数值参数(手术数量、重症监护病房住院天数、放射科和神经科诊所额外咨询服务费用),并计算购买和安装新的现代CDU设备的潜在投资经济价值以及预防手术并发症的成本。

结果

使用投资净现值(NPV)、内部收益率(IRR)和盈利能力指数(PI)等经济参数评估投资的盈利能力。对给定参数进行数学计算得出,应用于给定参数时NPV = 948,850可兑换马克,IRR为273%。PI值为12.6,与先前计算的NPV和IRR值相符。

结论

新开发的CDU设备“Affinit 30”的购置和使用在经济上有利可图且在医学上合理。投资净现值(NPV)、内部收益率(IRR)和盈利能力指数(PI)等经济参数的计算值表明了这一点。

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