RATIONAL OPERATION OF MRI EQUIPMENT INUNIVERSITY HOSPITALS IN THE CZECH REPUBLIC

The use of the MRI systems in healthcare facilities is expanding based on the following observations: 1) patients are not exposed to ionizing radiation during MRI examinations (as opposed to computed tomography [CT]) and 2) the imaging options available are greater with the use of the MRI than with the x-ray or CT. Due to the high acquisition and operating costs of an MRI system, it is necessary to pay special attention to the economic components of MRI use. The following recommendations are provided for the rational use of MRI systems in University Hospitals, and are based on data originating from one hospital in particular. A detailed analysis of the economics involved with operating an MRI system was made, and through this analysis parameters were formulated which describe the financial side of MRI operation. This research was done in the context of the reimbursement mechanism of the Czech Republic, and contains the calculations and a complete costs and break-even points for each MRI examination. The results are developed models for the reimbursement of an MRI in the Czech Republic, and particular recommendations for the rational use of an MRI in faculty hospital-type facilities