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The Application of the Total Cost of Ownership Approach to Medical Equipment—Case Study in the Czech Republic

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21460%2F19%3A00321969" target="_blank" >RIV/68407700:21460/19:00321969 - isvavai.cz</a>

  • Result on the web

    <a href="http://dx.doi.org/10.1007/978-981-10-9023-3_65" target="_blank" >http://dx.doi.org/10.1007/978-981-10-9023-3_65</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/978-981-10-9023-3_65" target="_blank" >10.1007/978-981-10-9023-3_65</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The Application of the Total Cost of Ownership Approach to Medical Equipment—Case Study in the Czech Republic

  • Original language description

    Czech hospitals purchase the most expensive medical technology using public procurement process and they often make their purchasing decisions based on the lowest bid price. However, the management of hospital in most cases is unaware that the purchase price is only a minor part of the total cost of ownership of the equipment. This study intended to assess the nature of the Total Cost of Ownership (TCO) method in applications to medical equipment in the Czech Republic, and to carry out TCO analysis for selected medical equipment units. In order to evaluate the awareness and utilization of TCO in Czech hospitals, a quantitative research method (questionnaire) was used. The questions were addressed to the investment departments of the hospitals. To accomplish the research objectives, a TCO analysis for selected medical devices (X-ray machine, SPECT/CT and ultrasound scanner) was conducted. For each piece of equipment, four cost items were considered: acquisition cost; maintenance cost; operational cost and the cost of disposal. The results of questionnaire survey demonstrate that the TCO method was unknown to most of the respondents (67%) and the respondents usually make decisions based on the purchase price of medical equipment. All respondents who have already used the TCO method indicated that this method was useful to them. The results of the case study imply that the operating cost for the selected devices over five years are comparable to the purchase price. SPECT/CT scanner was the only one unit, where the acquisition cost was higher than the operational. In case of purchase of expensive medical technology, health care facilities often make decisions on the basis of the lowest bid price. According to the calculated TCO, this parameter is not the only important cost driver in the life cycle of medical equipment in hospital

  • Czech name

  • Czech description

Classification

  • Type

    D - Article in proceedings

  • CEP classification

  • OECD FORD branch

    50602 - Public administration

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Article name in the collection

    World Congress on Medical Physics and Biomedical Engineering 2018 (Vol. 3)

  • ISBN

    978-981-10-9022-6

  • ISSN

    1680-0737

  • e-ISSN

  • Number of pages

    6

  • Pages from-to

    361-366

  • Publisher name

    Springer Nature Singapore Pte Ltd.

  • Place of publication

  • Event location

    Prague

  • Event date

    Jun 3, 2018

  • Type of event by nationality

    WRD - Celosvětová akce

  • UT code for WoS article

    000449744300065