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Perfusion
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Resource management in cardiovascular engineering: is outsourcing the solution?

Richard Feyrer

Center of Cardiac Surgery, University of Erlangen-Nuremberg, Erlangen, Germany, richard.feyrer{at}herz.imed.uni-erlangen.de

Michael Weyand

Center of Cardiac Surgery, University of Erlangen-Nuremberg, Erlangen, Germany

Udo Kunzmann

Center of Medicine Management, University of Erlangen-Nuremberg, Erlangen, Germany

In recent years, modern medicine has changed considerably. At maximum care centers, in particular, the use of state-of-the-art medical equipment has become an essential part of patient care. However, using such high-tech products also means a considerable burden on the financial resources available, because additional financing is rare. Consequently, there is a need for approaches that allow the use of state-of-the-art equipment without straining the budget unduly. The question now is whether economic strategies that have long since been established in other industries, e.g., the outsourcing of certain services, represent a potential solution for the economic problems of modern clinics. The fundamentals of outsourcing and its pros and cons are outlined and discussed, taking cardiovascular perfusion as an example, a cost-intensive field of heart surgery that is responsible for attending to heart / lung machines, artificial hearts and circulatory support systems.

Perfusion, Vol. 20, No. 5, 289-294 (2005)
DOI: 10.1191/0267659105pf822oa
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