PMID: 2092808May 1, 1990Paper

Digital diagnostic imaging with a comprehensive PACS: hypothetical economic evaluation at a large community hospital

Journal of Digital Imaging
R N WarburtonG W Ritchie

Abstract

Since 1983, the 422-bed Victoria General Hospital (VGH) and Siemens Electric Limited have been piloting the implementation of digital medical imaging, including digital acquisition of diagnostic images, in British Columbia. Although full PACS is not yet in place at VGH, experience to date has been used to project annual cost figures (including capital replacement) for a fully digital department. The resulting economic evaluation has been labeled hypothetical to emphasize that some key cost components were estimated rather than observed; this paper presents updated cost figures based on recent revisions to proposed departmental equipment configuration. Compared with conventional diagnostic imaging, digital imaging appears to raise overall annual costs at VGH by nearly $0.7 million, (Canadian currency) or 11.6%; this is more favorable than the previous results, which indicated extra annual costs of $1 million (16.9%). Sensitivity analysis still indicates that all reasonable changes in the underlying assumptions result in higher costs for digital imaging than for conventional imaging. Digital imaging appears likely to offer lower radiation exposure to patients, shorter waiting times, and other potential advantages, but as yet the ...Continue Reading

References

Feb 1, 1989·Quality Assurance and Utilization Review : Official Journal of the American College of Utilization Review Physicians·J J Castillo, K E Bennett

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Citations

Nov 1, 1990·Journal of Digital Imaging·U P Schmiedl, A H Rowberg
Jul 1, 1991·International Journal of Bio-medical Computing·R N Warburton
May 1, 1992·International Journal of Bio-medical Computing·B L Crowe
May 1, 1992·International Journal of Bio-medical Computing·R Mattheus
May 1, 1992·International Journal of Bio-medical Computing·R N Warburton
Jan 1, 1992·International Journal of Bio-medical Computing·B L CroweR Carter
Sep 1, 1994·Journal of the American Medical Informatics Association : JAMIA·S H Becker, R L Arenson
Jul 1, 1993·Medical Informatics = Médecine Et Informatique·E M Van Gennip, A R Bakker

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