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

Author(s):  
Petra Hospodková ◽  
Aneta Vochyánová
2017 ◽  
Vol 18 (6) ◽  
pp. 1193-1211 ◽  
Author(s):  
Gleb DONIN ◽  
Miroslav BARTÁK ◽  
Peter KNEPPO

Medical equipment (ME) is often considered to be an important factor in the growth of healthcare expenditures. In the Czech Republic (CR) validated approach does not yet exist for hospitals to use to assess commercial offers, nor is there a generally accepted methodology for regulatory bodies to allow for the evaluation of the effectiveness of prior purchases. This study intends to present a methodological approach that will allow for assessing the effectiveness of the procurement of capital ME based on international prices. The case of the purchase of tomotherapy system in the CR was used to demonstrate the developed approach. We performed a multiway search for international estimated and exact prices for tomotherapy unit using public-procurement databases, scientific papers, health technology assessment studies, professional reports, and Internet searches. All of the data that was gathered on prices was subjected to critical assessment vis-à-vis the reliability of the information. This research lays new methodology that may provide general background of international comparison studies focused on ME. The results provide support for decision making about the acquisitions of ME.


Author(s):  
Panagiota Nikolaou ◽  
Yiannakis Sazeides ◽  
Alejandro Lampropoulos ◽  
Denis Guilhot ◽  
Andrea Bartoli ◽  
...  

2014 ◽  
Vol 35 (4/5) ◽  
pp. 250-258 ◽  
Author(s):  
Yan Han

Purpose – The purpose of this paper is to provide a case study of total cost of ownership (TOC) for Electronic Theses and Dissertations (ETD). Only few articles have been published to discuss the costs associated with repository and/or theses and dissertations (TD). Design/methodology/approach – The paper first provides literature reviews in costs associated with repository and TD. By using the DCC life cycle model, the author presents costs for each actionable category: create or receive, appraise & select, ingest, preservation action, store, access, use and reuse and transform. The paper presents four TOCs to illustrate the changes of TOCs from 2005 to current time. Findings – The paper gives one case study of the TOCs for ETD over the years, and illustrates how the University lowered the TOCs. The current ETD's TOC is on a par with these costs of two other studies published related to repository titles. The TOC has been decreased from the traditional paper-based TD of $75 per title to ETD of $69 in 2005. By removing the ProQuest processing fee of $55, the TOC decreased to $14.37 in 2010. The TOC is currently $6.33 per title after the ETD collection was migrated to the University of Arizona repository. Research limitations/implications – Readers shall be aware that there are no “transform” and little “preservation action” tasks performed. The current cost of “transform” is $0 due to the nature of ETD of its rigid format requirements, Originality/value – The paper fulfills the need to study costs associated with repository titles, especially ETD titles. It also provide a way to estimate costs for institutions planning to start ETD collections.


2006 ◽  
Vol 42 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Krisje Hurkens ◽  
Wendy Valk ◽  
Finn Wynstra

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