Greene D
Br J Radiol. 1983 Mar;56(663):189-91. doi: 10.1259/0007-1285-56-663-189.
The cost of delivering a radiotherapy treatment on a linear accelerator is calculated. Items included in the cost are: cost of the accelerator itself, a simulator, a treatment planning computer, the treatment room, and the salaries of the radiographers and physicists concerned, as well as machine operating costs and interest charges. The cost of a beam direction shell is also calculated. The different costs are reduced to statements of cost per year (see Table IV for summary), and from these the cost of a course of treatment for a patient is arrived at on the basis of 800 patients treated per year. The cost comes out at pounds 137, plus pounds 70 for a beam direction shell, if one is used. Because the capital costs of radiotherapy treatment equipment are very substantial, it is often assumed that radiotherapy is a very expensive form of treatment. An analysis of treatment cost is presented, initially in terms of cost per year for equipment, special buildings, and staff at 1981 prices. Reduction of these figures to mean treatment cost per patient is based on the DHSS guideline for provision of radiotherapy services (HC(78)32), which suggests a figure of 800 patients to be treated per year as the number justifying the provision of a linear accelerator.
计算了在直线加速器上进行放射治疗的成本。成本中包含的项目有：加速器本身的成本、一台模拟定位机、一台治疗计划计算机、治疗室，以及相关放射技师和物理学家的薪资，还有机器运行成本和利息费用。还计算了射束方向外壳的成本。将不同成本换算为每年的成本报表（总结见表四），并据此根据每年治疗800名患者计算出每位患者一个疗程的治疗成本。如果使用射束方向外壳，成本为137英镑，外加70英镑。由于放射治疗设备的资本成本非常高，人们常常认为放射治疗是一种非常昂贵的治疗方式。本文给出了治疗成本分析，首先按照1981年的价格计算设备、特殊建筑和工作人员的年度成本。将这些数字换算为每位患者的平均治疗成本是基于卫生和社会保障部关于提供放射治疗服务的指导方针（HC(78)32），该方针建议每年治疗800名患者作为配备直线加速器的合理人数。
