Study on Investment of Extracorporeal Shock Wave Lithotirpy Machine from Taiwan Medical Institute
Date Issued
2005
Date
2005
Author(s)
Chen, Shiou-Sheng
DOI
zh-TW
Abstract
The purpose of this research is to evaluate the investment alternatives of the Extracorporeal shock wave lithotripsy (ESWL) machine in Taiwan by analyzing the costs and performances under different ways of management, including outsourcing cooperation and self-management. The definition of outsourcing cooperation is that the hospital just provides medical staff and place for operation without actually buying the machine for ESWL. On the other hand, self-management means that the hospital has to buy a machine for ESWL by itself and enact a contract of maintenance with the importing firm. Under the current system of health insurance for all the people in Taiwan, the payment for ESWL treatment is fixed. The payment belongs to the hospital using self-management. But the hospital using outsourcing cooperation has to share the payment with the importing firm at a percentage (about 30-40%) which is negotiated at the beginning of the contract.
In this study, we use the related financial data and medical records collected from the Bureau of General Health, as well as three public hospitals for a retrospective-research type evaluation. The hospitals include two in the northern area and one in the central area of Taiwan. The scale of the three hospitals is similar.
In particular, the followings are analyzed:
1. Costs of ESWL: the cost of equipment, consumed materials and medical staff.
2. Performance evaluation: the performances of the three hospitals are distinctly evaluated.
3. Investment evaluation: the investment alternatives from the viewpoints of supply and need are evaluated. Some sensitive analysis is conducted.
We hope the results of this research can provide some guidance for medical managers and the managers of general health insurance concerning the investment decision of ESWL machine.
In conclusion, the important results are as follows:
1. The cost of self-management is higher than that of outsourcing cooperation.
2. The performance of B hospital is better than that of A hospital.
3. By sensitivity analysis, the investment of EWSL machine is still recommended at present.
Subjects
體外震波碎石術
成本
績效評估
投資評估
ESWL
outsourcing
cost
performance evaluation
investment evaluation
Type
other
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