Management de l'externalisation de la maintenance biomédicale

Georgin, D.; Natan, J.; Szymczak, H.; Farges, G.

doi:10.1016/s1297-9570(05)80042-1

Cited by 5 publications

(11 citation statements)

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“…18 In developing countries, medical equipment maintenance is costly and partially mastered most of the time because it is usually managed by external service contracts. 9 According to Letaief et al, 3 Some clauses in these contracts are the same as, for example, the intervention duration, the response time, and the equipment downtime.…”

Section: And Preventive Maintenancementioning

confidence: 99%

“…18 A mapping review of 213 papers is provided by Cruz and Rincon, 9 containing mathematical models for decision making in maintenance outsourcing, contract design, negotiation, and optimization. The outsourcing of maintenance tasks has advantages and disadvantages that can be identified according to human resources, material resources, and the overall cost of the activity.…”

Section: State Of the Artmentioning

confidence: 99%

“…The outsourcing of maintenance tasks has advantages and disadvantages that can be identified according to human resources, material resources, and the overall cost of the activity. 18 The decision to outsource depends on the availability of appropriate skills and tools in-house. Other criteria are considered and related to equipment, hospital, and subcontractor.…”

Section: State Of the Artmentioning

confidence: 99%

“…The contract monitoring (assessment of the subcontractor) is crucial to determine the maintenance costs (including price and penalties). Georgin et al 18 provided a procedure to select a contract type per equipment. The considered selection criteria are mainly the availability of resources, the possibility of training, the availability of tools, the cost of spare parts, and the mean time between failures.…”

Section: State Of the Artmentioning

confidence: 99%

“…This type of contract is the subject of several studies in the literature and already applied in several hospitals in developed countries. 10,18 This type of contract is not available in the Tunisian context.…”

Section: State Of the Artmentioning

confidence: 99%

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Decision Support Procedure for Medical Equipment Maintenance Management

Masmoudi

Houria

Hanbali

et al. 2016

Journal of Clinical Engineering

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Hospitals outsource several activities of the service support in order to focus on the core healthcare production as maintenance service. Recently, faced to the sophistication and the costs of medical equipment that continue to escalate, governments have implemented new reforms to control costs and improve the efficiency and the quality. Hospitals become interested in minimizing the total operational cost, by optimizing healthcare production planning and their support activities. Reorganizing the medical equipment maintenance service becomes a priority for the hospital managers to reduce the cost and the dependency on external parties while ensuring that the medical devices are safe, accurate, and operating at the required level of performance. In this article, we propose an efficient procedure to take the appropriate decisions for medical equipment maintenance such as the selection of maintenance strategy, the insourcing/outsourcing, and the selection of contracts_ type and content. A practical application of this procedure in the Tunisian context is considered. Nevertheless, our procedure is general and can be tailored to hospitals in both developed and developing countries.Modern medical devices and equipment have become very complex and sophisticated and are expected to operate under stringent environments. Hospitals must ensure that their critical medical devices are safe, accurate, reliable and operating at the required level of performance.1 According to Khalaf, 2 the greatest problem for many developing countries is not the lack of equipment, but rather that 50% and sometimes up to 75% of the equipment supplied is not operative. As cited by the Centre for Biomedical Engineering and Hospital Maintenance, 3 the main purpose of a biomedical maintenance service is to ensure patient and user safety by maintaining an optimal performance for all biomedical devices.The complexity and the cost of biomedical maintenance have risen sharply in the last few decades. In fact, a maintenance activity is of different types:

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Section: And Preventive Maintenancementioning

confidence: 99%

Section: State Of the Artmentioning

confidence: 99%

Section: State Of the Artmentioning

confidence: 99%

Section: State Of the Artmentioning

confidence: 99%

Section: State Of the Artmentioning

confidence: 99%

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