The course objective is to let the student obtain competences on: the issues related to the acquisition and management of biomedical equipment, and of relevant data in the management of health systems; information systems (accounting, maintenance management etc..); today's standards on storage and transmission of medical data. At the end of the course, it is predicted that the student will also master probability models associated to the maintenance of biomedical equipment.
PART 1 Clinical engineering: glossary of terms; definition and classification of medical devices; national and international outlook of clinical engineering; clinical engineering competences. Inventory, national classification of medical devices (CND); global medical device nomenclature (GMDN). Entity-relationship diagram models. Operating principles of a selection of medical devices; reading, comprehension and writing of the technical specifications. PART 2 Management and maintenance of medical devices: probability theory fundamentals for the maintenance of medical devices: reliability and availability; failure rate, and other relevant indicators; costs and times; maintenance strategies, roles and duties. PART 3 Life Cycle Cost Analysis (LCCA) in the healthcare sector; health technology assessment: indicators of clinical efficacy (QALY, DALY); economic burden. Risk evaluation and minimisation; relevant indicators. Regulations in the healthcare sector (national level), and comparison at the international level; WHO directives and recommendations. Bismarck-Beveridge and mixed models. PART 4 Efficiency of a healthcare structure: indicators for outpatients and inpatients;
Slides, exercises and other material freely available for students on the University moodle platform. Further readings: - C. LAMBERTI, W. RAINER. LE APPARECCHIATURE BIOMEDICHE E LA LORO GESTIONE, PATRON EDITORE, 1998. - F. PINCIROLI, S. BONACINA. APPLICAZIONI DI SANITÀ DIGITALE, POLIPRESS, 2009.