Table 2. Base Case Results From the Bottom-Up Cost Analysis Including VAT and Presented in 2018 Euros .
Parameter | Conventional OR(Range) | Hybrid OR (Range) | ||
Construction | ||||
Costs per m2 OR | €12 804 | (€10 064-€14 768) | €12 804 | (€10 064-€14 768) |
Total construction costs | €621 231 | (€408 598-€841 776) | €1 092 915 | (€526 347-€1 568 362) |
Total annual costs | €71 673 | (€47 141-€97 118) | €126 092 | (€60 726-€180 945) |
Inventory | ||||
General inventory | €230 421a | (€190 027-€255 000) | €244 421a | (€190 027-€296 500) |
Anesthesia | €128 308 | (€65 000-€177 052) | €128 308 | (€65 000-€177 052) |
OR lights | €38 592 | (€20 030-€73 134) | €42 598 | (€32 000-€73 134) |
Arm pendants | €69 262 | (€40 000-€96 450) | €94 789 | (€56 000-€135 333 |
OR table | €105 891 | (€50 000-€155 160) | €265 222 | (€215 000-€307 131) |
Image routing system | €76 812 | (€0-€122 059) | €93 126 | (€0-€150 000) |
X-ray radiation protection aprons | - | - | €18 384a | (€13 354-€23 682) |
Fixed C-arm | - | - | €1 361 554 | (€1 125 649-€1 550 000) |
Total inventory costs | €649 375 | (€365 057-€878 855) | €2 248 402 | (€1 697 029-€2 712 832) |
Total annual costs | €113 330 | (€63 710-€153 379) | €433 241 | (€329 938-€519 947) |
Personnel | ||||
Staff occupation per OR | Surgeon (1x) | € 1.99 | Surgeon (1x) | € 1.99 |
Anesthetist (0.5x) | € 0.99 | Anesthetist (0.5x) | € 0.99 | |
Medical assistant (1x) | € 0.62 | Medical assistant (1x) | € 0.62 | |
OR assistant (3x) | € 1.87 | OR assistant (3x) | € 1.87 | |
Technician (0x) | € 0 | Technician (1x) | € 0.62 | |
Total personnel costs | €5.48 | (€5.40-€5.56) | €6.10 | (€6.01-€6.19) |
Overhead | ||||
Personnel costs (per minute) | €2.08 | (€2.05-€2.11) | €2.32 | (€2.28-€2.35) |
Construction costs (annual) | €27 236 | (€17 914-€36 905) | €47 915 | (€23 076-€68 759) |
Construction costs (per minute) | €0.24 | (€0.16-€0.33) | €0.90 | (€0.44-€1.30) |
Total overhead costs | €2.32 | (€2.21-2.41) | €3.22 | (€2.72-€3.65) |
Costs per minute (%) (range) | ||||
Construction costs | €0.64 (6.8%) | (€0.42-0.87) | €2.38 (12.0%) | (€1.15-€3.42) |
Inventory costs | €1.01 (10.7%) | (€0.57-€1.37) | €8.18 (41.1%) | (€6.23-€9.81) |
Personnel costs | €5.48 (57.9%) | (€5.40- €5.56) | €6.10 (32.4%) | (€6.01-€6.19) |
Overhead costs | €2.32 (24.6%) | (€2.21-2.41) | €3.22 (16.2%) | (€2.72-€3.65) |
Total | €9.45 | (€8.60-€10.23) | €19.88 | (€16.10-€23.07) |
Abbreviations: OR, operating room; VAT, value-added tax.
abased on only four hospitals. One hospital had in both conventional and hybrid OR no imaging routing system, therefore the minimal costs of the subcategory “image routing system” are zero.