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Record W4381855961 · doi:10.1097/jce.0000000000000598

Strategic Budget Planning for Complex Medical Devices: A Case Study on Surgical Microscopes

2023· article· en· W4381855961 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueJournal of Clinical Engineering · 2023
Typearticle
Languageen
FieldHealth Professions
TopicQuality and Safety in Healthcare
Canadian institutionsChildren's Hospital of Eastern OntarioSt Mary's Hospital Centre
Fundersnot available
KeywordsCapital expenditureGovernment (linguistics)Fiscal yearOperating budgetTicketClinical engineeringPlan (archaeology)Capital budgetingBusinessCapital (architecture)Medical equipmentCapital equipmentHealth careStrategic planningOperations managementBudget constraintFinanceEconomicsMarketingComputer scienceIndustrial organizationMedicineComputer security

Abstract

fetched live from OpenAlex

Dramatic developments in medical device technologies significantly influence the cost of equipment acquisition and operating expenses. Sometimes the budget estimation needed for rudimentary medical equipment can be complicated, even more so for a complex device with several add-on features. In Canada, the budget allocated to capital equipment purchases is challenging because the budget comes from the provincial government to the hospitals. The capital equipment budget amount is challenging because of the public healthcare funding model, whereby fiscal budgets come from the provincial government to the hospitals. The capital equipment budget allocation is limited and restricted in hospital as “big ticket” items compete with other capital requests. Having a strategic budgeting plan, completed by a clinical engineer, ensures a sufficient budget for the capital request. A strategic budgeting plan was central to this study to estimate the required funding for replacing aged existing surgical microscopes at the Children's Hospital of Eastern Ontario. This study demonstrates the development of a methodology to guide budget planning and includes inventory assessment, market analysis, the identification of clinical requirements, cost analysis, and the utilization of the outputs of these steps for capital planning requests. A basic step-by-step approach can be followed by any clinical engineering department before submitting a capital planning request for complex medical devices.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.268
Threshold uncertainty score0.979

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0120.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.606
GPT teacher head0.645
Teacher spread0.039 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it