高级CBCT成像的成本效益分析:增量成本和节省
Diego A Larrotta-Castillo1, Hedwig M Blommestein1, Britt Kunnen2
1Erasmus School of Health Policy and Management, Burgemeester Oudlaan 50, 3062 PA Rotterdam, the Netherlands; Holland PTC, Huismansingel 4, 2629 JH Delft, the Netherlands.
概括
先进的圆束CT (CBCT) 系统提供线下自适应性放射治疗 (RT),但成本更高. 这种分析确定了为合理化对先进的CBCT技术进行更高投资所需的RT分量的数量.
科学领域:
- 医学物理 医学物理
- 放射治疗技术 放射治疗技术
- 卫生经济学 卫生经济学
背景情况:
- 先进的圆束CT (CBCT) 系统可以替代离线自适应放射治疗 (RT) 中的单独CT扫描.
- 这些先进系统的初始投资成本高于传统的CBCT系统.
- 成本效益分析对于评估在临床环境中采用先进的CBCT的财务可行性至关重要.
研究的目的:
- 对线下自适应性放射治疗的先进CBCT系统进行供应商独立的成本效益分析.
- 确定需要抵消先进CBCT系统所有权成本增加的线下自适应RT分量的门.
- 提供有关投资先进CBCT技术的信息决策的数据.
主要方法:
- 开发了一个成本效益分析框架.
- 对先进和传统CBCT系统的拥有成本进行了比较.
- 计算了实现成本中立性所需的离线自适应RT分数的数量.
主要成果:
- 分析量化了需要回收先进CBCT系统的额外投资的离线自适应性放射疗法分数.
- 结果为评估适应性RT工作流程中升级CBCT技术的经济可行性提供了一个基准.
结论:
- 先进的CBCT系统在更高的前期成本和适应性放射治疗的潜在好处之间进行了权衡.
- 需要的离线自适应RT分数的数量是合理投资先进CBCT技术的关键指标.
- 这种分析有助于医疗保健提供者在采购放射治疗设备时做出战略决策.
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