Feasibility study on the acquisition of large-scale medical equipment is a comprehensive systematic analysis method to provide a basis for decision-making through investigation, research and analysis and comparison of social, economic and technological aspects of the market demand for equipment, equipment selection, profitability, environmental impact, etc., and prediction of financial returns, economic and social benefits achieved after being put into use before investment decision-making. It is characterized by predictability, impartiality, reliability and scientificity. Feasibility analysis before the investment decision, not only help to reduce or avoid investment mistakes, but also help the smooth implementation of the acquisition and promotion.
(a) investment necessity?
Medical market demand is a prerequisite for the acquisition of medical equipment, first of all, we must do a good job of market research, to understand the equipment adapted to the disease in the local morbidity rate, the patient's source of the situation, the number of similar equipment in the region and the degree of utilization of equipment. Prospectively consider whether the equipment is compatible with the hospital's strategic development goals, whether it is beneficial to fill regional gaps, key disciplines, new business growth. Prospective Industry Research Institute points out that the configuration of large-scale medical equipment must meet the needs of clinical needs, at the same time, meet or exceed the needs of scientific research, teaching and discipline construction, conform to the development trend of the hospital's increasing technical level, and seek the balance between economic benefits and the value of scientific innovation, so as to realize the win-win situation of clinical and scientific research ****. Optional quantitative indicators: the number of installed machines per million population in the region after the installation, the ratio of the hospital's medical income to the region's medical income, the number of specialists in the hospital's proposed equipment to adapt to the type of disease, the number of beds, the rate of beds, etc.?
(ii) technical feasibility?
In recent years, the rapid development of science and technology, the technical innovation of medical equipment has also accelerated. The technical sophistication of medical equipment is to extend the service life of the equipment is an important factor, consumables procurement, maintenance materials supply a good way to ensure the normal use of equipment, these should be included in the scope of the feasibility study. In addition to the relative sophistication of the technical level, should also give full consideration to the speed of technological innovation. Selection of indicators: pre-acquisition of equipment to achieve the performance indicators and medical requirements to achieve the consistency of performance indicators.
(3) financial feasibility?
Financial feasibility analysis on the basis of reliable cost analysis (including fixed costs, variable costs, taking into account the time cost of money) and revenue measurement (due to the government has set a uniform fee, the key to revenue measurement is the workload of the equipment conditional on a well-founded scientific prediction), the indicators used are divided into static indicators (payback period method, The indicators used are divided into static indicators (payback period method, average annual rate of return on investment method, investment loan repayment period method, etc.) and dynamic indicators (net present value method, present value index method, embedded rate of return method). Because the dynamic indicators take into account the time value of money factors, so in the actual evaluation is more convincing than the static indicators.
? Dynamic evaluation method of the net present value method and the embedded compensation rate method is a commonly used method of financial feasibility analysis, the difference is that the net present value method is the scientific prediction of the equipment purchased after the proceeds of the benchmark discount rate calculated as the present value, according to the net present value of the positive and negative to decide whether to purchase; and the embedded compensation rate method is the calculation of the total amount of capital inflow present value of the total amount of present value and the total amount of inflow of the current value of the total amount of the same, net present value of the net present value of equal to zero, the discount rate and the benchmark discount rate comparison. The embedded rate of return method is to calculate the discount rate when the total present value of capital inflow is equal to the total present value of capital inflow and the net present value is equal to zero, and to compare the discount rate with the benchmark discount rate, so as to judge the advantages and disadvantages of the program, and to clarify the actual rate of return of the program through this method, so in the practical application of the embedded rate of return method is better than net present value method. If all the evaluation indicators used are in line with the expected goals, the project is financially feasible; if none of them are in line, the acquisition should be abandoned. When the main indicators and secondary, auxiliary indicators are contradictory, should be embedded rate of return and other major indicators of the conclusion of the standard, if the main indicators in line with the secondary, auxiliary indicators do not meet, it shows that the program is financially viable, but there is a certain risk; on the contrary, should be abandoned.
(d) organizational feasibility?
The Prospect Industry Research Institute points out that the placement of large-scale medical equipment must meet the requirements of the overall layout of the hospital environment and environmental protection requirements, which requires a full understanding of the overall layout of the hospital, the location of the equipment installation and the environmental requirements, such as: power distribution, ventilation, cooling, the presence or absence of sewage and radiological problems and measures to address them. Regular refresher training or training of staff, including: diagnosticians, technicians, nurses, engineers and technicians. Repair and maintenance of equipment is to ensure that the normal operation of the instrument is an important part of the hospital should strengthen their own engineering and technical personnel training efforts to solve most of the machine failure problems, reduce costs and save money.?
(E) social feasibility?
The acquisition of large medical equipment will bring direct economic benefits in addition to a series of external effects, that is, social benefits. Embodied in:?
(1) the acquisition of equipment to carry out the project is exactly what the community needs or can bring the convenience of medical care to patients in the region. Quantitative indicators: patients because of the lack of similar local equipment to go abroad to consult the expenditure / local per capita disposable income × 100%.?
(2) The purchased equipment can significantly improve the hospital's diagnosis and treatment level and diagnosis and treatment efficiency, increase patient reception, and drive the related departments to increase income. By analyzing the testing speed of the equipment, it is predicted that the patient reception volume of the new equipment in a unit of time. Quantitative indicators: the expected number of annual users × the expected proportion of users hospitalized × the average hospitalization charges .
(3) The purchased equipment can improve the hospital's research and teaching level and efficiency. It can be measured by indicators such as the number of applied results, new technologies, and scientific research papers.