Cost analysis of hospital information system in Chiba Cancer Center

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  • 千葉県がんセンターにおける病院情報システムの費用に関する検討
  • チバケン ガン センター ニ オケル ビョウイン ジョウホウ システム ノ ヒヨウ ニ カンスル ケントウ

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<p>We reviewed induction and maintenance costs of our hospital information system. We introduced an ‘e-medical record’ made by Software Service Inc. as a basic system of a hospital information system in April 2006. The ‘e-medical record’ consisted of an electronic chart system, a medical business accounts system, a laboratory examination system, a transfusion system, a hospital meal system and an operation anesthesia system as section systems. As other section systems made by other companies, we introduced PACS, radiologic imaging section RIS, radiotherapy section RIS and laboratory information system for pathology. For these systems, we reviewed induction costs, additional costs in five years and maintenance costs. The system induction costs and additional costs were 699,100,000 yen (total cost), which was calculated to be 139,800,000 yen per year. The total sum of maintenance expenses was 41,900,000 yen per year. Therefore, the total of the induction and maintenance expenses was calculated to be 181,700,000 yen per year. It was equivalent to 2.2% of the annual medical profession gross earnings in our hospital, at 533,000 yen per bed. This expense is lower than that obtained from literature review. As the main reasons for the lower cost, we list (a) choosing a package-type electronic chart system, (b) choosing-as much as possible-a section systems made by the same maker for electronic chart system, and (c) choosing low-end terminal PCs.</p>

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