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[Computerization of a small hospital]. [一个小医院的计算机化]。
Dimensions in health service
Pub Date : 1991-04-01
K Kouri, D A Mackenzie
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引用次数: 0
Giving computerization a human face. 给计算机一个人性化的面孔。
Dimensions in health service
Pub Date : 1991-04-01
J A Best, M S Weinstein
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引用次数: 0
In-house servicing of microcomputers. 内部微型计算机维修。
Dimensions in health service
Pub Date : 1991-04-01
Z Lipcsey
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引用次数: 0
Health technology news. Assessing effectiveness: databases can help. 健康科技新闻。评估有效性:数据库可以提供帮助。
Dimensions in health service
Pub Date : 1991-04-01
D Menon
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引用次数: 0
The smart card: a tool for smart hospitals. 智能卡:智能医院的工具。
Dimensions in health service
Pub Date : 1991-04-01
B Seaton
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引用次数: 0
New bar coding tools for clinical managers. 临床管理人员的新条形码工具。
Dimensions in health service
Pub Date : 1991-04-01
E Macdonald, M H Nusbaum
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引用次数: 0
Low vs. high osmolar contrast media. 低渗透压对比剂与高渗透压对比剂。
Dimensions in health service
Pub Date : 1991-03-01
T Knudson
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引用次数: 0
Digital videofluorography: a new direction in diagnostic imaging. 数字显影:诊断成像的新方向。
Dimensions in health service
Pub Date : 1991-03-01
D M Hynes, A J Porter, E W Edmonds, J A Rowlands

Accurate information about digital technology is often difficult to obtain because of unrealistic expectations. The development of the digital department is complex and must not be understated. However, we have attempted to show that if a truly committed hospital immediately accepts DVF, this will result in reduced capital and operational costs, as well as lower radiation doses to the patient and operator. We believe this will happen because every major X-ray manufacturer is demonstrating and offering DVF systems, all of which are based on the technology described in this paper. These systems can either be totally integrated into fluoroscopic facilities or be purchased as add-on components to established units. In any event, a modern fluoroscopic facility can cost several hundred thousand dollars, and must last 10 to 15 years. It seems prudent to acquire quality and digital capability so that these units will be adequate in the year 2000 and beyond.

由于不切实际的期望，关于数字技术的准确信息往往难以获得。数字部门的发展是复杂的，绝不能低估。然而，我们试图表明，如果一家真正致力于DVF的医院立即接受DVF，这将减少资本和运营成本，并降低对患者和操作人员的辐射剂量。我们相信这将成为现实，因为每个主要的x射线制造商都在展示和提供DVF系统，所有这些系统都基于本文中描述的技术。这些系统既可以完全集成到透视设备中，也可以作为附加组件购买到已建立的设备中。在任何情况下，一个现代的透视设备都要花费几十万美元，而且必须使用10到15年。获得质量和数字能力似乎是谨慎的做法，以便这些单位在2000年及以后能够满足需要。
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引用次数: 0
Nonionizing radiation safety issues in health care. 卫生保健中的非电离辐射安全问题。
Dimensions in health service
Pub Date : 1991-03-01
D Charron
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引用次数: 0
Is nuclear medicine cost-effective? 核医学是否具有成本效益?
Dimensions in health service
Pub Date : 1991-03-01
S Ripley

Clearly, there is currently no consensus on the cost-effectiveness of nuclear medicine--or in fact any other aspect of medicine. It is hoped that common sense prevails in clinical medicine today. An appropriate case history and physical examination may negate the need for any additional investigation. From the perspective of the capital cost of equipment and supply costs, ultrasound is clearly the most cost-effective diagnostic imaging modality. But while it is useful, it does not always provide definitive answers, and other modalities must be used to arrive at a diagnosis. In comparison, the capital cost of general radiology equipment and nuclear medicine equipment is relatively equal. Radiology has more operating costs per case than nuclear medicine and requires a lower staffing component per given volume of examinations. In any given diagnostic imaging procedure, the practitioner and imagist must maintain a dialogue to ascertain the appropriateness of the study and to use the available resources in the most effective manner. This is even more imperative when CT scanning and MRI are included in the equation. The development of an investigative protocol that makes the most efficient use of the various imaging modalities without compromising the quality of care makes sense for the patient, the physician and the insurance provider. It is unreasonable to expect the physician to be aware of the optimal protocol for the diagnostic workup of every patient. The guidance of the imaging department is required to maximize the efficient use of the available facilities. A critical and exhaustive appraisal of the medical literature may be required to determine the optimal diagnostic protocol.(ABSTRACT TRUNCATED AT 250 WORDS)

很明显，目前对核医学的成本效益——实际上是医学的任何其他方面——还没有达成共识。希望常识在今天的临床医学中占上风。适当的病史和体格检查可以否定任何额外调查的需要。从设备的资金成本和供应成本的角度来看，超声显然是最具成本效益的诊断成像方式。但是，虽然它是有用的，但它并不总是提供明确的答案，必须使用其他模式来进行诊断。相比之下，普通放射设备和核医学设备的资金成本相对相等。与核医学相比，每例放射学的运营成本更高，每例检查所需的人员配置也更少。在任何给定的诊断成像程序中，医生和成像师必须保持对话，以确定研究的适当性，并以最有效的方式利用现有资源。当CT扫描和核磁共振也包括在内时，这就更加必要了。在不影响医疗质量的情况下，开发一种最有效地利用各种成像方式的调查方案，对患者、医生和保险提供商都有意义。期望医生知道每个病人诊断检查的最佳方案是不合理的。需要影像部门的指导，以最大限度地有效利用现有设施。为了确定最佳的诊断方案，可能需要对医学文献进行批判性和详尽的评估。(摘要删节250字)
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引用次数: 0
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