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Needs assessment on medical
equipment
Gobierno
federal
salud
The National Center for Health Technology
Excellence perspective
(CENETEC / Mexican MoH)
B.E. Maria Luisa Gonzalez Retiz
GLOBAL FORUM ON MEDICAL DEVICES
Bangkok, Thailand
September 10th, 2010
Index
CENETEC: Position in the MoH
Tools developed
Epidemiological needs
Device lists
Inventories
Challenges
Gobierno
federal
salud
CENETEC: Position in the MoH
President of Mexico
• Organization
National Health Council
Main Decision Makers
salud
Health Minister
Viceminister of
Health Promotion
and Prevention
Viceminister of
Administration
and Financing
Viceminister of
Integration and
Development of
the Health Sector
National Social
Health Protection
Commission
Health Risk
Protection
Commission
COFEPRIS
Privileged position
General
Director of
Health Quality
General
Director of
Health
Planning
National Center for
Health Technology
Excellence
Founded in 2004
General
Director
of Health
Information
Gobierno
federal
General
Director
of Health
Evaluation
Medical Judge
Commission
CONAMED
Mexico Overview
Gobierno
federal
salud
p
Ma
110 million inhabitants
2 million km2
74% urban population
24 million people in
towns with less than 2,500 inhabitants
Tools developed for Needs Assessment
Epidemiological needs
Gobierno
federal
Certificate of Need
salud
Technical approval
Device lists
Medical and telemedicine
equipment lists
Inventories
SINERHIAS
Certificate of Need
• High Cost Medical Equipment
• Needs assessment: Clinical needs, epidemiological
needs
• Similar equipment in the area, productivity and
availability
• Specialized personnel available
• Acquisition alternatives
• Cost-benefit analysis
Gobierno
federal
salud
Certificate of Need
http://www.cenetec.salud.gob.mx
Gobierno
federal
salud
Technical approval
Telemedicine project
technical ruling
CENETEC´s approval
number
Recommendations
Gobierno
federal
salud
Medical and telemedicine equipment lists
http://www.cenetec.salud.gob.mx
Gobierno
federal
salud
Medical and telemedicine equipment lists
Rural first level medical facility
Total cost of equipment
Gobierno
federal
CENTRO DE SALUD DE UN NÚCLEO RURAL
CB code
Suma de Total
Suma de TOTAL 1R
Local
Central de esterilizacion y
equipos (ceye)
$1,018,877.37
Tipo de Bien
Equipo y Mobiliario
Administrativo
Equipo y Mobiliario
Médico
Devices needed
salud
Precio unitaro
(promedio)
Clave CB
Descripción por clave de CB
511.232.0022
CESTO PARA PAPELES
181
$181.34
515.619.0877
531.385.1080
MESA ALTA CON RESPALDO (120 CM)
2,284
ESTERILIZADOR DE VAPOR AUTOGENERADO$PARA
209,337.71
DENTAL Y MAXILOFACIAL.
1
209,338
$2,284.20
$209,337.71
$
181.34
Cant 1R
TOTAL 1R
1
Total
Total Central de esterilizacion y
equipos (ceye)
Cocineta
$211,803.25
Equipo y Mobiliario
Administrativo
523.481.0462
523.782.1490
517.270.0097
S/C 889
HORNO DE MICROONDAS
REFRIGERADOR 9 PIES
COCINETA DE GAS
JUEGO DE LOZA Y CUBIERTOS
$
$
$
$
2,500.00
4,131.87
7,587.69
1,850.00
1
1
1
1
2,500
4,132
7,588
1,850
$2,500.00
$4,131.87
$7,587.69
$1,850.00
$16,069.56
511.026.0337
ANAQUEL 7 ENTREPAÑOS
$
3,644.99
1
3,645
$3,644.99
$3,644.99
511.232.0022
511.790.0059
CESTO PARA PAPELES
PORTARROTAFOLIO CON PIZARRÓN
$
$
181.34
11,787.21
1
1
181
11,787
$181.34
$11,787.21
Total Cocineta
Farmacia
Total Farmacia
Sala de espera
Areas
Equipo y Mobiliario
Administrativo
Equipo y Mobiliario
Administrativo
Type of device
Costs & quantities
Inventories
SINERHIAS (Information System on medical Equipment, Infrastructure
and Human Resources for Health Care).
Gobierno
federal
• Medical units inventory: quantity, type, (hospitals, primary
care), key identification data, demographic variables
COMPONENTS
salud
• Medical Equipment: Inventory, functionality, perceived
needs.
• Human Resources: specialties, training and productivity
•
•
Operating since 2002
Contains medical equipment used in Primary Care and Specialties (200 most
common pieces of medical equipment)
• Information is collected at local level and concentrated nationally by the MoH
*Catalogue of variables were constructed, based on Mexican Official Norms (NOM 197 & NOM 128), Catalogue for Essentials
Health Services (CASES), Global Medical Device Nomenclature, GMDN.
Inventories
• Primary care analysis
Type of medical unit
%
Primary care
General Hospitals
Specialized hospitals
Total
86%
10%
4%
100%
Number of pieces
of equipment
209,976
24,759
10,182
244,917
Gobierno
federal
salud
Challenges
• Authorities/Decision
makers
– Alliances
• Users
– Facilitate the process
– Automation
– Spreading knowledge
– Inform and sensitize
– Disclosure and
positioning
– Reliable information
Gobierno
federal
salud
Gobierno
federal
salud
Thank you all!
www.cenetec.salud.gob.mx