Özet:

The purpose of this study is to develop a method for evaluating the cost effectiveness of medical device technologies by examining the classification of medical device operating expenses and structures of clinical engineering departments. Therefore, the cost efficiency of medical device technologies was analyzed by evaluating the medical equipment operating expenses of the health facilities connected to the Istanbul Beyoğlu Public Hospitals Union (IBPHU) by using the normalized weighted arithmetic average method. While medical device operating expenses are evaluated, the relationship between the total inventory value and technological development levels of the inventory device groups is used. IBPHU’s data on medical device operating expenses for 2015 were obtained by the Ministry of Health Business Intelligence and Uniform Accounting Systems that were compared with calculated results by developed method. Medical device inventory is classified as high, medium, low and simple technology which are based on technological development level. The ratio of acquisition costs of technology device groups to total inventory acquisition costs were obtained as 40,08%, 29,14%, 22,62% and 8,16%, respectively. By using literature and our study's methodology, the upper limit of the annual cost effectiveness ratio in medical device operation costs was obtained, which is 10.41% of total inventory acquisition value. The annual ratio of the total value of biomedical service and spare parts expenditures to the inventory value in the health facilities connected to the IBPHU was calculated as 6.74%. According to the results, the IBPHU’s operational cost of medical device technologies of was observed to be within effective cost limits for 2015. It is thought that this method will be one of the criteria that will benefit to health technology managers in evaluating the effectiveness of clinical engineering departments.

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