Maintenance versus replacement of medical equipment: a cost-minimization analysis among district hospitals in Nepal
About half of all medical devices in low- and lower-middle-income countries are currently non-operational because equipment maintenance is lacking. Thus, choosing a cost-efficient equipment maintenance approach has the potential to increase both the quantity and quality of important health services....
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
12 August 2022
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| In: |
BMC health services research
Year: 2022, Volume: 22, Pages: 1-9 |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-022-08392-6 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12913-022-08392-6
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| Author Notes: | Michael Hillebrecht, Constantin Schmidt, Bhim Prasad Saptoka, Josef Riha, Matthias Nachtnebel and Till Bärnighausen |
| Summary: | About half of all medical devices in low- and lower-middle-income countries are currently non-operational because equipment maintenance is lacking. Thus, choosing a cost-efficient equipment maintenance approach has the potential to increase both the quantity and quality of important health services. Between 2010 and 2014 Nepal’s Ministry of Health chose two of its development regions to pilot the contracting-out of maintenance services to the private sector. We develop a cost model and employ different data to calculate the cost of this contracted-out scheme. The latter we compare with two additional common approaches to maintenance: in-house maintenance and no maintenance. |
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| Item Description: | Gesehen am 20.03.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-022-08392-6 |