Evaluation of resource allocation and supply-demand balance in clinical practice with high-cost technologies

Journal of Evaluation in Clinical Practice
Tetsuya OtsuboKenshi Hayashida

Abstract

Japan has one of the highest numbers of high-cost medical devices installed relative to its population. While evaluations of the distribution of these devices traditionally involve simple population-based assessments, an indicator that includes the demand of these devices would more accurately reflect the situation. The purpose of this study was to develop an indicator of the supply-demand balance of such devices, using examples of magnetic resonance imaging scanners (MRI) and extracorporeal shockwave lithotripters (ESWL), and to investigate the relationship between this indicator, personnel distribution statuses and operating statuses at the prefectural level. Using data from nation-wide surveys and claims data from 16 hospitals, we developed an indicator based on the ratio of the supplied number of device units to the number of device units in demand for MRI and ESWL. The latter value was based on patient volume and utilization proportion. Correlation analyses were conducted between the supply-demand balances of these devices, personal distribution and operating statuses. Comparisons between our indicator and conventional population-based indicators revealed that 15% and 30% of prefectures were at risk of underestimating the ...Continue Reading

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Citations

Jun 8, 2013·International Journal for Equity in Health·Da HeYingyao Chen
Oct 24, 2012·The Journal of Urology·Christopher J Weight, Sean P Elliott
Aug 27, 2016·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Fabiola Fernández-GutiérrezAndreas Melzer
Jan 1, 2021·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Jourdan M CancienneBrian C Werner

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