scholarly journals Cost Benefit dan Effectiveness Investasi Alat Kesehatan Berteknologi Tinggi di Instalasi Radiologi

2021 ◽  
Vol 12 (2) ◽  
pp. 01
Author(s):  
Hari Mukti Udyanto
Keyword(s):  
Interest Rates ◽  
Ct Scan ◽  
Medical Devices ◽  
Medical Equipment ◽  
Quantitative Methods ◽  
Planning Process ◽  
High Tech ◽  
Depth Information ◽  
4D Ultrasound ◽  
Investment Process

<p><em>One of the important components supporting the effort to cure patients is medical devices. Hermina Mekarsari Hospital type C classification seeks to meet services in accordance with service standards. Preliminary monitoring data found that the CT - Scan examination room facilities in the Radiology Installation have not been used as intended. This is because the medical equipment investment process is not optimal, the financial sector is not involved, so no investment analysis is conducted.  The research objective was to analyze the investment feasibility and investment planning process of two CT-Scan and 3D / 4D ultrasound medical devices in Radiology Installation. Research is an empirical study with quantitative methods. The aim is to obtain more in-depth information about the planning process for high-tech and expensive medical equipment. A total of 6 informants as parties involved in the investment process. The results of the study for CT-Scan and 3D / 4D ultrasound, based on NPV calculations are positive, IRR values are lower than the interest rates used, CBR values are more than 1, and PI values are more than 1. It was concluded that from the analysis of financial aspects for investment in both medical devices is worth the investment. It is recommended that hospitals immediately hold the two medical devices in 2020 or 2021.</em></p>

scholarly journals Breakdown Time Analysis in The Effort to Maximize Medical Equipment Productivity in Hospital

2021 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Buyung Sakti Hamel
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Qualitative Method ◽  
Health Service Delivery ◽  
Professional Organizations ◽  
High Tech ◽  
Government Employees ◽  
Breakdown Time ◽  
Government Hospitals ◽  
Depth Interviews

Health equipment in hospitals determines the productivity of health service delivery. Medical equipment must continue to function properly. One way to measure the success of maintaining medical devices is by standard Breakdown Time. This study aims to determine the application of standard Breakdown Time on damaged medical devices. The research method used is a descriptive qualitative method with in-depth interviews. There are interviewees with private status and ASN (government employees). From the private sector, there are consultants, technical managers, and administrators of professional organizations in the field of medical equipment. Interviewees with ASN status are practitioners of maintenance and repair of health equipment in government hospitals. The results of the interviews were compiled into 6 groups based on the main questions asked, then analyses descriptively. The results of the study, Standard Breakdown Time have not been applied comprehensively in hospitals. Several informants informed that although there is an application of breakdown time, the standard is not yet clear and is only applied to high-tech equipment and/or for a minimal number of equipment there is only one in the hospital. For other equipment, there is no standard when the damage occurs, until when the damaged equipment must be able to function again. In conclusion, the Standard Breakdown Time for medical devices is important and its application must be supported by Ministerial-level regulations.

scholarly journals Distribution and Utilisation of Radiotherapy Units in Greece

2019 ◽  
Vol 2 (1) ◽  
pp. 28-35
Author(s):  
Aris Dermitzakis
Keyword(s):  
Medical Devices ◽  
Biomedical Engineering ◽  
Medical Equipment ◽  
Modern Medicine ◽  
Clinical Engineering ◽  
World Health ◽  
Current Status ◽  
High Tech ◽  
Health Technologies ◽  
Management Procedures

Biomedical Engineering is playing a leading role in the development of medical technology which is one of the pillars of Modern medicine, or as differently expressed at the European Economic and Social Committee (EESC) opinion paper: “Biomedical Engineering is not simply a subset of modern medicine. Modern medicine predominantly secures important advances through the use of the products of biomedical engineering”1. Health technology, according to World Health Organization (WHO), refers to the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives. Therefore, Medical Devices (MDs) belong to the Health Technologies, and Radiotherapy (RT) is an important subgroup of them. Radiotherapy refers to high-tech medical devices that are of high capital value both in terms of initial investment and operation, requiring specially trained personnel for its use and needs regular quality control, preventive maintenance and management procedures, to function properly and safely. Clinical Engineering plays a major role in facing of the afore mentioned challenges. The present paper provides an overview of the results of a study under the WHO action on Strengthening Capacity for Universal Coverage Greece/Phase 2 (SCUC2)2aiming to: Assess the sufficiency and equity in the distribution of RT and its use in Greece Identify eventual inequalities in terms of geographical coverage, specific needs and lack of RT Asses the current status of staffing in RT units Estimate the costs for the use of High Value Capital Medical Equipment (HVCME) Since a country-wide medical equipment inventory for Greece does not exist, various sources were used to obtain a clear picture of the installed units in public Greek hospitals and private clinics. As a result, it came out that, in terms of number of units the per million population the number of RT units rose by 23% from 4.3 in 2009 to 5.3 in 2017. In terms of number of acts, a general increasing trend is noticed, resulting to a total cost increase of 25% from 2013 to 2016. The study revealed that in Greece, there are quite pronounced inequalities in terms of availability of RT technologies in different regions. Long term strategic planning is needed based on evidence, such as updated inventory of MDs, acts performed, associate costs etc , which are unfortunately lacking in Greece. Additionally, the role of clinical engineers in the effective management and safe use of this technology should be widely recognised and regulated.

ANALISIS PERENCANAAN DAN PENGENDALIAN DALAM PENCAIRAN DANA PADA PENGADAAN ALAT-ALAT KEDOKTERAN PADA DINAS KESEHATAN KOTA LHOKSEUMAWE

2021 ◽  
Vol 3 (1) ◽  
pp. 44-58
Author(s):  
Isra Maulina
Keyword(s):  
Medical Devices ◽  
Financial Management ◽  
Medical Equipment ◽  
Planning Process ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Official Report ◽  
Planning And Control ◽  
Financial Management System ◽  
And Control

Good management will provide a reference or description of how the health office is managed in a transparent manner, there is independence, accountability, and there is responsibility and fairness so that financial performance at the lhokseumawe city health office can be achieved in accordance with the vision and mission of the health office. This study aims to determine how the process of implementing planning and control in the disbursement of funds for the procurement of medical equipment at the health office of lhokseumawe city. This research uses a qualitative approach with descriptive and analysis. Data collection in this study was carried out through interviews and documentation. Interviews were conducted with related parties and knew about the disbursement of funds for the procurement of goods / services at the lhokseumawe city health office in 2011. The results obtained indicate that the control planning process in disbursing funds for the procurement of medical devices in the lhokseumawe city health office in 2001 has not fully used the applicable rules so that the implementation of goods/ services is not in accordance with the reality and expectations of the community in general. This is evidenced by the delay in the distribution of medical devices at the puskesmas and the absence of an official report on the receipt of goods while the disbursement of funds was carried out 100%. This condition gave birth to a financial management system that was not transparent and accountable.

scholarly journals BRINGING INNOVATION PRODUCTS ONTO EXTERNAL MARKET: AN EMPIRICAL ANALYSIS OF MEDICAL DEVICES INDUSTRY

2018 ◽  
pp. 80-87
Author(s):  
K. V. Sayapina
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Market Research ◽  
High Tech ◽  
Target Market ◽  
Diagnostic Systems ◽  
Foreign Markets ◽  
External Market ◽  
Foreign Countries

The article is aimed at defining effective methods to manage promotion of high-tech products onto foreign markets, on basis of medical equipment market research. Key trends for development of medical equipment market in foreign countries are defined, which are consolidation of small laboratories and scientific centers in net associations, and offering personified products and diagnostic systems for individual usage. Features of algorithm of entering foreign markets are presented. In context of recommendations for bringing innovation high-tech products onto external markets, it is necessary to hold preliminary monitoring of local and foreign analogues on target market, to offer complex decisions, to organize conjoint enterprises for products promotion, and to form public-private partnership in long-term perspective.

scholarly journals University Community Engagement and the Strategic Planning Process

2018 ◽  
Vol 13 (1) ◽  
pp. 4-17 ◽  
Author(s):  
Laura Newton Miller
Keyword(s):  
Strategic Planning ◽  
Qualitative Methods ◽  
Quantitative Methods ◽  
Planning Process ◽  
Strategic Plan ◽  
User Experience Design ◽  
Strategic Planning Process ◽  
Research Libraries ◽  
The University ◽  
University Community

Objectives- To understand how university libraries are engaging with the university community (students, faculty, campus partners, administration) when working through the strategic planning process. Methods- Literature review and exploratory open-ended survey to members of CAUL (Council of Australian University Librarians), CARL (Canadian Association of Research Libraries), CONZUL (Council of New Zealand University Librarians), and RLUK (Research Libraries UK) who are most directly involved in the strategic planning process at their library. Results- Out of a potential 113 participants from 4 countries, 31 people replied to the survey in total (27%). Libraries most often mentioned the use of regularly-scheduled surveys to inform their strategic planning which helps to truncate the process for some respondents, as opposed to conducting user feedback specifically for the strategic plan process. Other quantitative methods include customer intelligence and library-produced data. Qualitative methods include the use of focus groups, interviews, and user experience/design techniques to help inform the strategic plan. The focus of questions to users tended to fall towards user-focused (with or without library lens), library-focused, trends & vision, and feedback on plan. Conclusions- Combining both quantitative and qualitative methods can help give a fuller picture for librarians working on a strategic plan. Having the university community join the conversation in how the library moves forward is an important but difficult endeavour. Regardless, the university library needs to be adaptive to the rapidly changing environment around it. Having a sense of how other libraries engage with the university community benefits others who are tasked with strategic planning

scholarly journals Why Should We Have a Periodic Safety and Performance Program for Medical Devices

2018 ◽  
Author(s):  
A Tavakoli Golpaygani
Keyword(s):  
Quality Control ◽  
High Risk ◽  
Medical Devices ◽  
Medical Equipment ◽  
Control Program ◽  
Electrical Safety ◽  
Leakage Currents ◽  
Quality Control Program ◽  
Periodic Safety ◽  
And Performance

Nowadays, more than 10,000 different types of medical devices can be found in hospitals.These devices used in medical centers and hospitals for monitoring and treatment of patients require periodic safety and performance checking in order to have confidence in their functioning and operation. Physicians need better accurate medical measurements in order to better diagnose diseases, monitor patients and deliver treatments, in this way failure to ensure appropriate measurements will certainly have diverse effects. Safety and performance testing of medical devices in the medical sector is a one of the key factor in improving public health. Acquiring results of some investigations indicate a need for new and severe regulations on periodic performance verifications and medical equipment quality control program especially in highrisks instruments.The metrological reliability of four high risk medical devices, Electrosurgical unit, Defibrillator, Syringe pump and Infant incubator in use some hospitals (privates and publics) in one of the province of Iran according to international and national standards was evaluated. Quantitative analysis of Some parameters that impact the safety and performance showed the amount of the obtained results in some equipment are in critical range and have higher values than standard limitations. General electrical safety evaluations for measuring the patient leakage currents and patient auxiliary currents carried out for all of groups,in some cases the amount of leakage currents were over the standard limitations.Acquiring results indicate a need for new and severe regulations on periodic performance verifications and medical equipment quality control program especially in high risk instruments. It is also necessary provide training courses for operating staff in the field of meterology in medicine and what’s the critical parameters and how they can get good accuracy results equipment.

Company performance and optimal capital structure: evidence of transition economy (Russia)

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Vladislav Spitsin ◽  
Darko Vukovic ◽  
Sergey Anokhin ◽  
Lubov Spitsina
Keyword(s):  
Capital Structure ◽  
Interest Rates ◽  
Transition Economies ◽  
Transition Economy ◽  
High Tech ◽  
Company Performance ◽  
Return On Assets ◽  
Content Type ◽  
Optimal Capital Structure ◽  
Optimal Capital

PurposeThe paper analyzes the effects of the capital structure on company performance (return on assets). The analysis is conducted in a large sample of high-tech manufacturing and service companies in the transition economy (Russian Federation). In addition to the aggregated analysis, separate investigations are conducted to scrutinize the impact of company age, size and location factors (the effects of agglomerations). This research postulates the existence and variability of the optimal capital structure and its dependence on economic crisis.Design/methodology/approachWe utilized a large sample that includes 1,826 enterprises over the period from 2013 to 2017. The estimation was performed using the panel-corrected standard error estimation technique (Prais–Winsten regression) to account for the panel nature and distributional properties of our data. The existence of the optimal capital structure was assessed based on a curvilinear (quadratic) function.FindingsThe results are consistent with the Static Trade-off Theory and show that this theory is applicable to countries with transition economy. They demonstrate that effective management of the capital structure can increase return on assets by 16–22%. The optimal share of borrowed capital is higher for small businesses compared to larger ones and for enterprises located in agglomerations compared to those located in other regions. A greater increase in profitability can be achieved by larger firm companies compared to smaller ones. High share of borrowed capital leads to negative profitability, i.e. to losses by enterprises. No significant differences in profitability growth were identified between young and mature enterprises. The optimal share of borrowed capital that maximizes return on assets is in the range of 0–21%.Research limitations/implicationsDue to the SPARK policies, our access to the data has been limited to a five-year window, which imposed certain limitations on the choice of econometric methods we could have employed and somewhat limited our ability to contrast the effect of the crisis period with the period of stability. In this sense, although our results pertaining to the effect of the crisis could be treated as conservative, future research should consider extending the panel to include more years into consideration.Practical implicationsWe identified significant differences between optimal capital structures and actual capital structures for high-tech enterprises. The contribution of this study is that the calculations were made for a country with a transition economy under crisis conditions. Countries with transition economies and developing countries tend to be characterized by a high level of interest rates on loans and a high proportion of borrowed capital in total assets. This poses difficulties for companies relying on borrowed capital to finance their operations. At the same time, our results demonstrate that in transition economies, enterprises in high-tech industries do have an optimal capital structure that allows maximizing firm performance. That is, Static Trade-off Theory is applicable to transition economies characterized by high interest rates on loans.Originality/valueThe novelty of this study lies in the detailed analysis of high-tech industries in Russian Federation. This analysis makes use of sophisticated econometric techniques for the first time in this context.

The Role of Leadership in High Tech Manufacturing Companies in a Changing Environment

2011 ◽  
Vol 495 ◽  
pp. 176-180 ◽  
Author(s):  
Yiannis Triantafyllopoulos ◽  
Nikolaos Konstantopoulos ◽  
Damianos P. Sakas
Keyword(s):  
Performance Management ◽  
Quantitative Methods ◽  
Critical Role ◽  
Management Strategies ◽  
Merger And Acquisition ◽  
Business Environment ◽  
High Tech ◽  
Manufacturing Companies ◽  
Company Strategy

This article aims to examine the role of leadership after a change in the business environment of a company, such as a Merger and Acquisition, in high tech manufacturing companies. Particularly as the number of mergers and acquisitions (M&As) continues to increase and during recession times is one of the most common strategy, more leaders are called upon to to develop their skills an play the most important role for the company strategy. For this purpose both qualitative and quantitative methods are used to examine the effect of leadership after a Merger and Acquisition in some Greek companies that operate in manufacturing business. Findings indicate that in many cases the change that occurs as a result of a merger is imposed on the leaders who have the critical role not only to communicate effectively the company strategy but also to find the correct ways to apply the requested performance management strategies, such as recognition, innovation and others in the new company employees.

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