Dynamic DR is a cost effective product

:2015-10-14

With many international giants turning to dynamic DR, its efficient and accurate diagnosis, the clinical application of multi-disciplinary rooms has been recognized by more and more hospitals. In addition, as domestic major image manufacturers gradually introduce dynamic products, their cost performance has gradually become prominent. Dynamic DR can save costs - save money, save people, save the computer room, and meet the needs of more departments - physical examination, gastroenterology, gynecology, anorectal, etc., become a model of low-cost and high-efficiency products, sought after by everyone .
The country gradually promoted the hospital's "independent accounting, self-financing" policy, resulting in many hospitals helpless to deviate from the "non-profit & public welfare" and other hospitals. Under the pressure of these systems, some medical institutions are currently prevailing as “over-medical”. The cost of medical treatment for patients is high, and the relationship between doctors and patients is further deteriorated, even reaching the point where it is triggered. In essence, doctors are the most helpless layer of sandwiches, they are eager to enjoy the gospel of the preface technology, but also look forward to cost-effective products. As a result, dynamic DR came into being.
First, dynamic DR is a low-cost device
Dynamic DR is the most advanced imaging technology in the field of popularization, and it is a leap-type technological innovation for traditional DR. At present, the price of dynamic DR in the market is higher than that of traditional DR, but because of dynamic digital recording, digital fluoroscopy, digital gastrointestinal angiography, visual point-and-click, etc., it has natural low cost (non-low price). Competitive advantage, the purchase of a dynamic DR in the middle and lower level hospitals is equivalent to the procurement of a radiology department, which can save the computer room, provincial personnel, provincial budget, and provincial use cost.
1. Purchase a dynamic DR provincial computer room;
In grassroots hospitals, county-level hospitals, or physical examination centers of high-grade hospitals, and grassroots hospitals under its jurisdiction, if you want to build a complete X-RAY inspection department, you should purchase at least one DR, one perspective machine, and one Digital gastrointestinal machine. If you follow the national computer room construction standards, you need three computer rooms; even if you use special mechanical structures such as twin-tubes, you need at least two computer rooms.
Dynamic DR, because one device can meet these basic functional requirements, only one machine room is needed.
2. Purchase dynamic DR provincial personnel;
With the traditional equipment procurement method, one for DR, fluoroscopy machine and gastrointestinal machine, at least two medical technicians are required to complete the daily operation.
Now to purchase a dynamic DR, you only need one operating doctor.
3. Purchase dynamic DR provincial budget;
At present, public hospitals purchase DR+ fluoroscopy + digital gastrointestinal machines, even if they are domestically produced equipment, they must have a budget of more than 2.5 million (not to exclude some regional budgets). If you purchase imported equipment, it is too expensive. Of course, the current procurement of dynamic DR, the budget is also high, such as Shimadzu, Siemens, Starford and other manufacturers of dynamic DR terminal prices are more than 4.5 million. However, domestic dynamic DR is cost-effective. As domestic manufacturers such as Anjian Technology, Wandong Medical, and Shandong Xinhua have mastered the dynamic DR machine technology, their dynamic DR has been very eye-catching in the market.
Hospital procurement of domestic dynamic DR can meet various functions, but also save budget for other developments of the department.
4. Purchase dynamic DR provincial use costs;
At present, some hospitals implement the policy of “independent accounting and self-financing”, and the hospital has taken this pressure down to specific departments. The economic indicators of the department became a KPI. If the hospital purchases multiple equipments, not only the procurement cost is high, but also the warranty cost after the insurance is high. The purchase price + warranty fee is the use cost in the industry. for example:
Equipment type
Domestic/ import
Purchase price
(ten thousand yuan)
Use premium
(ten thousand yuan)
Total cost (ten thousand yuan)
Remarks
Dynamic DR
Domestic
200
10*7=70
270
Eight years of retirement, premium rate 5%
import
450
45*7=315
765
Eight years of retirement, 10% premium rate
Perspective machine +DR+
Abdominal machine
Domestic
250
12.5*7=87.5
337.5
Eight years of retirement, premium rate 5%
import
450
45*7=315
765
Eight years of retirement, 10% premium rate
At present, the annual premium of imported equipment is 10%-12% of the purchase price of equipment, and the warranty price of domestic equipment is 5%-6%. The cost of using three sets of domestic and imported equipment and one dynamic comparison of the eight-year use period (one-year warranty). details as follows:
As can be seen from the above table, the current purchase of domestically-developed dynamic DR can at least save the cost of the department by 675,000, and the highest can save 4.95 million. Comparing the warranty costs of domestic and imported dynamic DR, at least 2.45 million can be saved, and this part of the money can be converted into the department's net profit.
Therefore, purchasing dynamic DR can save the equipment room, save personnel, save budget, save cost, and save more resources for the department. It is a low-cost equipment.

Second, dynamic DR is a highly efficient device
Because the dynamic DR has the functions of digital filming, digital fluoroscopy, digital gastrointestinal angiography, visual pointing, etc., it can meet the needs of multiple department examinations in clinical practice, and is a very high-efficiency inspection equipment. Compared with traditional DR equipment, it can be used in multiple clinical situations. For a primary hospital, purchasing a dynamic DR activates the entire hospital.
1. The application of dynamic DR in digestive medicine;
Dynamic DR can check chronic gastritis, gastric ulcer, proctitis, colitis, etc.; clinical manifestations of stomach pain, nausea and vomiting, abdominal pain, constipation, etc.; severe gastrointestinal mucosal erosion bleeding, symptoms of bloody stool, black stool, stomach bleeding Symptoms such as hematemesis, these can be diagnosed using dynamic DR examination.
2. Dynamic DR application in gynecology;
Dynamic DR can check the infertility caused by tubal obstruction, tubal adhesion, hydrosalpinx and other chronic fallopian tube diseases. It can clearly show the location, extent and nature of the fallopian tube, and can also identify endometrial conditions, fallopian tubes and pelvic tuberculosis.
3. Dynamic DR application in anorectal;
Dynamic DR can be applied to double angiography and defecation angiography (DFG) function, which can check the small lesions of the large intestine, such as small polyps, early cancer, ulcers and other effects; can check: anal canal, puborectal syndrome, sputum Tail teratoma, rectocele, proctitis, rectal intussusception, anorectal injury and foreign body examination.
4. The application of dynamic DR in hepatobiliary surgery;
After bile duct surgery, the common bile duct was inserted into the T-tube drainage to support the operation to prevent postoperative common bile duct stricture. Postoperative cholangiography (T-tube angiography) was performed with dynamic DR, and no residual stones and foreign bodies were detected in the biliary tract. Unobstructed, evaluate the surgery.
5. The application of dynamic DR in the physical examination department;
Thoracic fluoroscopy is a routine examination in a physical examination. The clinical significance is to check for lung cancer, especially early lung cancer. Using dynamic DR, the lungs can be examined through chest fluoroscopy, and there is no disease in the mediastinum to determine the size, density, relationship with surrounding tissues, common diseases such as pneumonia and tuberculosis. Dynamic DR can dynamically observe the lung, heart or other chest lesions from various angles, and can have a comprehensive understanding of the condition of the lesion.
Dynamic DR can also be used for a variety of other contrast examination items. A variety of functions of a device, in addition to meeting a variety of clinical needs, more importantly, can bring hospitals to generate income. After a number of dynamic DR users' benefit tracking analysis, we can get:
A. Use as a normal DR
According to the latest charging standards of Guangdong Province in 2013: DR exposure costs 60 yuan, double exposure 50 yuan, film 30 yuan / Zhang (14 * 17): according to 20 patients per day, exposure 40 times calculation, one year charge: 20 × 140 × 313 = 876,400 yuan (Note: calculated by working 6 days a week, namely: 365 * 6 / 7 = 313 days)
B, as a digital gastrointestinal use
According to the digital gastrointestinal charges of a top three hospital in Guangdong Province: (cost includes contrast agent and 14*17 film, unit: yuan)
According to the patient with 3 pyelography every day (other angiography items are not every day), one year charge:
3 × 291 × 313 = 273.49 million yuan (Note: calculated according to 6 days of work per week, namely: 365 * 6 / 7 = 313 days) conservatively estimated that the whole machine's annual income is not less than: 87.64 + 27.3249 = 114,649,900 Yuan, and for many primary hospitals, because there are many clinical examination projects that drive the daily inspection and treatment business of other departments, these will be a greater benefit.
In general, with the gradual implementation of the “Hospital Independent Accounting Self-financing” policy, dynamic DR can save the hospital a lot of resources and use costs, and at the same time help the hospital to serve a wider range of patients, is a low-cost, high Benefiting equipment, this is the fundamental reason why it is favored by experts and users.

Source: Medical Device Network

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