(1) The necessity of investment?
The demand of medical market is the premise of purchasing medical equipment. First of all, we should do a good job in market research to understand the local incidence of diseases adapted by the equipment, the source of patients, the number of similar equipment in this area and the utilization degree of the equipment. Prospectively consider whether the equipment is suitable for the strategic development goals of the hospital, whether it is conducive to filling regional gaps, building key disciplines, and increasing new business. Prospective Industry Research Institute pointed out that the configuration of large-scale medical equipment should meet the clinical needs, meet or lead the needs of scientific research, teaching and discipline construction, conform to the development trend of increasing hospital technical level, seek the balance between economic benefits and scientific research innovation value, and achieve a win-win situation for clinical and scientific research. Optional quantitative indicators: installed capacity per million people in this area after installation, the proportion of hospital medical income to local medical income, the number of experts who plan to buy equipment suitable for diseases, the number of beds, bed utilization rate, etc. ?
(2) Technical feasibility?
In recent years, with the rapid development of science and technology, the technological innovation of medical equipment is also accelerating. The advanced technology of medical equipment is an important factor to prolong the service life of equipment, and good consumables procurement and maintenance materials supply are the guarantee for the normal use of equipment, which should be included in the scope of feasibility study. In addition to the relative progress of technical level, we should also give full consideration to the speed of technological innovation. Selection index: the consistency between the performance index that can be achieved by pre-purchasing equipment and the performance index required by medical treatment. ?
(3) Financial feasibility?
On the basis of reliable cost analysis (including considering the fixed cost, variable cost and time cost of funds) and income calculation (because the government has formulated a unified charging standard, the key to income calculation is a conditional and well-founded scientific prediction of equipment workload), the adopted indicators are divided into static indicators (payback period method, annual investment return rate method, investment loan repayment period method, etc.). ) and dynamic indicators (net present value method, profitability index method and internal rate of return). Because dynamic indicators consider the time value of money, they are more convincing than static indicators in actual evaluation.
? Among the dynamic evaluation methods, net present value method and internal rate of return method are commonly used in financial feasibility analysis. The difference is that the NPV method calculates the scientifically predicted income after equipment purchase as the present value through the benchmark discount rate, and decides whether to purchase according to whether the NPV is positive or negative; IRR method is to calculate the discount rate equal to the total inflow and outflow present value and the net present value equal to zero, and compare it with the benchmark discount rate, so as to judge the advantages and disadvantages of the scheme, and determine the actual rate of return of the scheme by this method, so IRR method is superior to the net present value method in practical application. If all the evaluation indexes adopted reach the expected goals, the project is financially feasible; If none of them meet the requirements, you should give up buying. When there are contradictions between main indicators and secondary and auxiliary indicators, the conclusions of main indicators such as internal rate of return shall prevail. If the main indicators are met, but the secondary and auxiliary indicators are not, it shows that the scheme is financially feasible, but there are certain risks; Instead, we should give up. ?
(4) Organizational feasibility?
Forward-looking Industry Research Institute pointed out that the placement of large-scale medical equipment must meet the requirements of the overall layout of the hospital and environmental protection, which requires a full understanding of the overall layout of the hospital, equipment installation sites and environmental requirements, such as power distribution, ventilation, cooling, sewage and radiation, and other problems and solutions. Staff regularly receive refresher courses or training, including: diagnostic doctors, technicians, nurses, engineers and technicians. Equipment repair and maintenance is an important link to ensure the normal operation of the instrument. Hospitals should strengthen the training of their own engineers and technicians, solve most machine failures, reduce costs and save money. ?
(5) Social feasibility?
The purchase of large medical equipment will not only bring direct economic benefits, but also produce a series of external effects, that is, social benefits. Reflected in:?
(1) The project carried out with the purchased equipment is exactly what the society needs or can bring convenience to patients in this field. Quantitative index: expenditure of patients going to other places for medical treatment because there is no similar equipment locally/local per capita disposable income × 100%. ?
(2) The purchased equipment can obviously improve the level and efficiency of hospital diagnosis and treatment, increase the number of patients, and drive the income of relevant departments to increase. Through the analysis of the detection speed of the equipment, the patient reception volume of the new equipment in unit time is predicted. Quantitative index: number of expected users per year × proportion of expected hospitalized users × average hospitalization expenses. ?
(3) The purchased equipment can improve the level and efficiency of hospital scientific research and teaching. It can be measured by indicators such as application results, new technologies and the number of scientific research papers. ?