A comparison of the investment in hospital-based obstetrical ultrasound in Wales and Washington State.
The purpose of this study was to examine differences in the way Britain and the United States invest in and deploy a new medical technology.
We used structured interviews to obtain information on the technical sophistication and approximate replacement value of all hospital-based obstetrical ultrasound machines in every maternity hospital in Washington state and Wales.
The supply of hospital-based ultrasound machines-approximately two machines per 1,000 births-was similar in both countries.
Wales had fewer advanced ultrasound machines than Washington state, and they were based exclusively in high-volume district general hospitals ; there were no obstetric ultrasound machines in the private sector.
In Washington state, the majority of advanced machines were in small and medium-sized hospitals, and many private offices had ultrasound machines.
The approximate replacement value of hospital-based machines was three times as high per birth in Washington state as in Wales.
In the case of obstetrical ultrasound, centralization of facilities, a relatively small private sector, and global budgeting lead to lower expenditures per patient within the National Health Service without compromising access to care.
Mots-clés Pascal : Appareillage, Equipement biomédical, Génie biomédical, Exploration ultrason, Obstétrique, Investissement, Milieu hospitalier, Pays de Galles, Etats Unis, Etude comparative, Système santé, Economie santé, Grande Bretagne, Royaume Uni, Europe, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Instrumentation, Biomedical equipment, Biomedical engineering, Sonography, Obstetrics, Investment, Hospital environment, Wales, United States, Comparative study, Health system, Health economy, Great Britain, United Kingdom, Europe, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0590236
Code Inist : 002B30A04A. Création : 01/03/1996.