Tıbbi Cihaz Kullanım Durumunun Değerlendirilmesi: Türkiye ve Avrupa Birliği Ülkeleri Üzerine Bir Araştırma

Bu çalışmada Türkiye ve Avrupa Birliği (AB) üyesi ülkelerde görüntüleme amaçlı kullanılan bilgisayarlı tomografi (BT) ile manyetik rezonans görüntüleme (MRG) cihazlarının kullanım oranlarını ve cihaz başına kullanım paylarını hesaplamak ve bu değişkenlere göre ülkeleri sınıflamak amaçlanmıştır. Araştırma kapsamında ilk olarak cihaz kullanım oranları ve cihaz başına kullanım payları hesaplanmıştır. Ardından, ülkeler hem BT hem de MRG cihazı için kullanım oranları ve payları açısından ayrı ayrı hiyerarşik kümeleme analiziyle gruplandırılmıştır. Yapılan hesaplamalar sonucunda BT ve MRG kullanım oranlarının sırayla Türkiye için 20,87, 32,84 ve AB ortalamalarının ise 3,44, 2,92 olduğu bulunmuştur. Kümeleme analizi sonucunda ise, BT cihazı açısından, Fransa ve Türkiye’nin birinci grupta diğer ülkelerin ikinci grupta; MRG cihazı açısından ise İspanya, Fransa, Birleşik Krallık ve Türkiye’nin birinci grupta diğer ülkelerin ikinci grupta yer aldığı bulunmuştur. Çalışmadan elde edilen sonuçların sağlık teknolojileri aracılığıyla sunulacak olan sağlık hizmetlerinin planlanmasında, cihaz sayılarının belirlenmesinde, cihazların verimli kullanımına ilişkin kararların alınmasında kanıta dayalı önemli bilgiler sunacağı düşünülmektedir

Anahtar Kelimeler:

BT, MRG, Kullanım Oranı, Cihaz Balı Kullanım Payı, Kümeleme Analizi

An Evaluation on Medical Device Usage Status: A Study on Turkey and European Union Countries

In this study, Turkey and the European Union (EU) member states in imaging used for computed tomography (CT) and magnetic resonance imaging (MRI) to calculate the rate of use of devices and operating margin per device, and the country is intended to classify according to these variables. Within the scope of the research, firstly, device usage rates and usage shares per device were calculated. Countries were then grouped separately by hierarchical clustering analysis in terms of usage rates and shares for both CT and MRI devices. The results of the calculations for Turkey in order CT and MRI utilization rate of 20.87 and 32.84 while the EU average was found to be 3.44 and 2.92. According to the cluster analysis results, in terms of IT device, France and Turkey in the first group, other countries in second group; In terms of the MRI device, Spain, France, the United Kingdom and Turkey in the first group, other countries in second group. It is thought that the results obtained from the study will provide important evidence-based information in the planning of health services to be provided through health technologies, in determining the number of devices, and in making decisions regarding the efficient use of devices.

Keywords:

CT, MRI, Rate Of Use, Share of Device Usage, Cluster Analysis,

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