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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Hauptverfasser: Hillebrecht, Michael (VerfasserIn) , Schmidt, Constantin (VerfasserIn) , Saptoka, Bhim Prasad (VerfasserIn) , Riha, Josef (VerfasserIn) , Nachtnebel, Matthias (VerfasserIn) , Bärnighausen, Till (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 12 August 2022
In: BMC health services research
Year: 2022, Jahrgang: 22, Pages: 1-9
ISSN:1472-6963
DOI:10.1186/s12913-022-08392-6
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12913-022-08392-6
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Verfasserangaben:Michael Hillebrecht, Constantin Schmidt, Bhim Prasad Saptoka, Josef Riha, Matthias Nachtnebel and Till Bärnighausen
Beschreibung
Zusammenfassung: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.
Beschreibung:Gesehen am 20.03.2023
Beschreibung:Online Resource
ISSN:1472-6963
DOI:10.1186/s12913-022-08392-6