Markov chain optimization of repair and replacement decisions of medical equipment

Liao, Hao-Yu; Cade, Willie; Behdad, Sara

doi:10.1016/j.resconrec.2021.105609

Cited by 9 publications

(7 citation statements)

References 42 publications

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“…The goal is to achieve optimal health service conditions by maintaining the medical devices used in the service. In addition to paying attention to the costs and benefits of establishing Regional Maintenance Centers, researchers also conducted a more in-depth analysis of resource fulfillment by looking at the work plan documents for establishing the Regional Maintenance Center in 2018 and the Regional Maintenance Center Team in 2018, 2019, 2020 and 2021.However, it may not be realized until the end of 2020 because the regional leader is skeptical of that unit.So it is hoped that this research can be used as a study for regional leadership advocacy materials to establish and develop a regional maintenance center [14].…”

Section: Discussionmentioning

confidence: 99%

An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services

Supangat

Wulandari

2023

APJHM

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Objective : The limitations of the Health Office in managing medical equipment management programs are compared to hospitals, as are the efficiency of the resources needed by the Regional Maintenance Center in assisting the Health Office to carry out the program. So an analysis is needed to see what the resulting costs and benefits are. Method: The research is accompanied by observations and observations of documents related to medical device maintenance and calibration analysis using cost-benefit analysis. The study was carried out in 2021 at the Pasuruan District Health Office in East Java Province, Indonesia. Results : After doing research, it was found that in the financial aspect, when viewed from the NPV, the IRR value is found to be 2.34%, the BCR is greater than one, which is 6.95%, and the PI is 8.5. The health facility maintenance unit is feasible to establish and develop in terms of both financial and effectiveness. Conclusion : Various regulations were issued by the Ministry of Health to manage the management of health equipment. The Regional Maintenance Center is believed to be able to run well if all parties support it, starting with regional leaders, then support from human resources, financial resources, officer competence, infrastructure, and management information systems. so that health services can be available in both quantity and quality.

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Section: Discussionmentioning

confidence: 99%

An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services

Supangat

Wulandari

2023

APJHM

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“…14 However, very little has been published regarding when MEs should be replaced in clinical practice. For this purpose, some authors have developed mathematical models to prioritize the replacement based on device functional status, [15][16][17][18][19][20] others focus on cost-utility analysis and results are reported in terms of intermediate outcomes, such as success rate, complication rate, procedure duration, diagnostic performance, and level of measurement. 12 Justifying the request for MEs replacement either with mathematical models, or based on a limited institutional budget, or even just a cost analysis, does not provide enough information for decision-making to replace medical devices, particularly high-tech ones.…”

Section: Discussionmentioning

confidence: 99%

“…MEs to overcome this issue. 15 In this sense, Fennigkoh, in 1992, developed a simple mathematical model to identify and prioritize medical equipment in need of replacement integrating factors as equipment service and support, equipment function, cost benefits, and clinical efficacy. 16 Taylor et al in 2005, used the Medical Equipment Replacement Score (MERS) system to score the priority replacement for medical devices producing realtime results.…”

Section: Wwwmedigraphicorgmxmentioning

confidence: 99%

“…20 Likewise, in 2021 Liao et al developed a Markov Chain model to optimize the decision-making process for replacement of MDs integrating technical factors as network problems, accessory problem, physical damage, random failure, tech support, among others. 15 The studies mentioned provide information for prioritizing the replacement of MEs, but without considering additional elements such as workflow, distribution, usage requirements, human resources, and cost-effectiveness analysis (CEA). Currently, the replacement of MEs is subject to an analysis of benefit, usefulness and safety for the patient and the user, also its significant social impact for the allocation of the budget.…”

Section: Wwwmedigraphicorgmxmentioning

confidence: 99%

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Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Navor-Galeana¹,

Pineda²,

Sandoval³

et al. 2022

Investigación en Discapacidad

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Introduction: decision-making about when MEs replacement should take place is a traditional hospital challenge due to its high cost for health institutions and the risk it could represent in any existing medical care practice or procedure. The Health Technology Assessment (HTA) for MEs allows prioritizing its replacement in a hospital. Most MEs replacement evaluations focus solely on cost analyses; however, these evaluations do not consider the full role that MEs play in the healthcare processes In this sense, the investment cost of the equipment and other critical factors to evaluate the process, costs and productivity must be considered either. Objective: this paper proposes a methodology to support the decision to replace or not MEs, based on economic evaluation and business process analysis. Material and methods: cost-effectiveness, intermediate effectiveness, and process workflow analysis are applied. The best MEs alternative is identified through a decision-tree and time indexes, productivity and performance indicators. This methodology was tested by evaluating, as a case study, whether it is necessary to replace the sterilizers/washing machine that are in the last stage of their lifecycle, operating in our Central Sterilization Units. Results: the methodology presented in this paper has a high potential to detect delays, measure efficiency, productivity and costs of the processes, and even, based on the workflow analysis, to be able to improve the processes where MEs are operating. Conclusion: furthermore, HTA-based MEs replacement methodology allows to generate cost-effective information for decision-making at the management level.How to cite: Navor-Galeana NP, Pineda C, Sandoval H, Gutiérrez-Martínez J. Methodology for the replacement of high-tech medical equipment, applying economic evaluation and business process analysis.

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“…Ref. [21] suggested a Markov decision process framework to optimize repair and replacement plans for medical equipment.…”

Section: Literature Reviewmentioning

confidence: 99%

Warranty Cost Analysis for Multi-State Products Protected by Lemon Laws

et al. 2023

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The implementation of lemon laws in America has played an important role in improving the quality of after-sales service. Nowadays, many countries, such as China, Canada, Europe, Australia, Singapore, and South Korea, have adopted lemon laws in various industries to protect the interest of consumers. From the perspective of manufacturers, accurate estimation of the cost of the warranty service is of great importance in guiding product pricing, quality control, and design of warranty policies. According to the terms of different lemon laws, two warranty models considering the repair time and numbers for failures are proposed in this paper. Products under these models are multi-state, and Markov processes are used to model the degradation processes of products. In the first model, a product will be replaced by a new one if the time for a repair or the number of failures exceeds their respective thresholds over the warranty period. Under the second model, both catastrophic and minor failures are considered. A product will be replaced if one of the following three conditions is met over the warranty period: the time of one repair action (regardless of failure type) is longer than a time threshold; the number of minor failures is larger than a preset threshold; a catastrophic failure occurs. The expected warranty cost rates under the two proposed warranty models are derived under the assumption of renewable warranty terms. Numerical examples are given to illustrate the results obtained.

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Markov chain optimization of repair and replacement decisions of medical equipment

Cited by 9 publications

References 42 publications

An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services

An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services

Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Warranty Cost Analysis for Multi-State Products Protected by Lemon Laws

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