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Advances in Engineering and Information Technology in the
recent years have brought about several changes in the field
of Medical Science. Medical Equipment play a very significant
role in the field of medicine and healthcare delivery system.
Sophisticated biomedical equipment require a host of utilities
like the air conditioning and refrigeration, stabilised power
supply systems etc. The design criteria of these support systems
are of paramount importance.
Hospital equipment fall into an extremely wide spectrum ranging
right from a hi- tech MRI and CT scanner to a simple patient
trolley. These all account for a major part of any hospital
project cost, which could go upto almost 60%. Of this, biomedical
equipment could account for nearly 50% of the cost. Keeping
this in view it is essential to ensure maximum utilisation
of the equipment with minimum downtime.
The health care industry is experiencing a new era in cost
containment. In the past, little attention was given to the
financial impact of equipment related decisions. Today, however,
times have changed. In this new environment, "state-of-the-art"
is no longer sufficient as planning criteria for selecting
new technology. Today, for a technology to be appropriate,
it must address the needs for efficiency, cost-effectiveness,
and productivity and at the same time, improve or maintain
the quality of patient care. In addition, hospitals are finding
themselves in an extremely competitive arena, which puts an
additional emphasis on a technology's marketability. The challenge
faced by hospital executives today is to gain the management
and control required to make effective equipment planning
decisions.
Whilst medical devices can be broadly categorised into diagnostic
and therapeutic equipment, the selection criteria for procurement
would need to take into account several factors viz. type
of hospital & level of services provided; services available
in the neighbourhood and technology employed; background of
the staff that would operate the equipment; proposed tariff
for the services employing medical devoices; etc. Having addressed
these issues one would need to carry out a separate financial
feasibility for the major and critical equipment and then
set out to prepare the specifications and features of the
medical devices that would be considered most appropriate
for the hospital. After having undergone this exercise too
there are multiple products that one can choose from. For
this one would need to apply further criteria and do a detailed
analysis of factors related to the technology and design base
of the equipment; the maintenance convenience and available
service support; forthcoming technology and interchangeability
with the current generation; presence of the manufacturer
/ vendor in the existing market place; and once again the
factors are several!
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