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Table 5 Maintenance policy currently applied in the UGHCR and the best valued by the multicriteria approach

From: A multicriteria decision making approach applied to improving maintenance policies in healthcare organizations

Subsystem

Alternative currently applied

Alternative provided by this research

Description

(value)

Costs (€)

Consequences for care

Availability

Description

(value)

Costs (€)

Consequences for care

Availability

Dialysis of patients with hepatitis C

CM + PM+ PPT

(32.63)

Mainte-nance cost: 21.000

Financial cost: 0

The patient suffers no decrease in quality of service once the dialysis has begun.

Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis (increase in supply in intrahospital emergency situations)

0.9977

CM + PM + 2SP

(70.00)

Mainte-nance cost: 18.000

Financial cost: 3.600

The patient suffers no decrease in quality of service once the dialysis has begun.

Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis, from the same hospital or from another hospital within the catchment area (increase in supply in intrahospital and extrahospital emergency situations). Increase the supply emergency hospital situations and programmed actions within the catchment area

0.9977

Dialysis of patients with hepatitis B

CM + PM+ PPT

(75.00)

Mainte-nance cost: 15.000

Financial cost: 0

The patient suffers no decrease in quality of service once the dialysis has begun.

Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis (increase in supply in intrahospital emergency situations)

1

CM + PM + 2SP

(87.14)

Mainte-nance cost: 14.000

Financial cost: 3.600

The patient suffers no decrease in quality of service once the dialysis has begun.

Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis, from the same hospital or from another hospital within the catchment area (increase in supply in intrahospital and extrahospital emergency situations).

1

Dialysis of chronic patients

CM + PM+ PPT

(28.09)

Mainte-nance cost: 54.000

Financial cost: 0

The patient suffers no decrease in quality of service once the dialysis has begun

0.9999

CM + PM + 2SP

(39.99)

Mainte-nance cost: 40.000

Financial cost: 3.600

The patient suffers no decrease in quality of service once the dialysis has begun. Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis, from the same hospital or from another hospital within the catchment area (increase in supply in intrahospital and extrahospital emergency situations)

0.9999

Dialysis of acute patients

CM + PM+ PPT

(75.00)

Mainte-nance cost: 15.000

Financial cost: 0

The patient suffers no decrease in quality of service once the dialysis has begun.

Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis (increase in supply in intrahospital emergency situations)

1

CM + PM + 2SP

(87.14)

Mainte-nance cost: 14.000

Financial cost: 3.600

The patient suffers no decrease in quality of service once the dialysis has begun. Increases the possibility of carrying out unprogrammed dialysis motivated by the admission of a patient for other reasons but who requires, for an unexpected reason, sporadic dialysis, from the same hospital or from another hospital within the catchment area (increase in supply in intrahospital and extrahospital emergency situations).

1