Optimisation du parc d'échographes à l'hôpital européen Georges-Pompidou : impact de la tarification à l'activité

The choice of an ultrasound remain on medical, technical and budgetary criteria of an establishment. In a hospital configuration in constant change, the step will have to take into account as much as possible, increasingly bonded factors (medical interest, profitability, budgets restricted…), and to set up an acquisition policy of and ultrasound renewal. If clinical specificities and the machine's medical performances remain before the reference criteria in equipment acquisition process, the evolution towards the new hospitals funding methods (with the implementation of tariffing with the activity) imposes more and more the machine's activity like one of the dominating criteria choice process. Nevertheless the machine's activity although necessary, is not enough to operate a judicious choice. Taking charge of certain clinically necessary activities but not very productive is likely to be sacrificed in aid of the profit. In this work, we tried to arbitrate the choices by taking the medical needs and the financial constraints into account, due to the new fashion of financing of the hospital. The optimization of the ultrasounds park within the framework of the equipments renewal can and must integrate the two complementary aspects for a better choice.