Status of Imaging Center in patna

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    BY: Vishal Kumar. SAMAHA

    MBA+PGDHHM, BscMIT.

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    Objectives

    To find out total no. of X-ray center,no. of USG center, CT Scan center,MRI center, Mammography center.

    X-ray & USG center.

    X-ray, USG & CT-Scan Center.

    CT, MRI, Mammography.

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    Objective cont.y Owner of the center Dr./ Tech./ Investor.

    y Equipment type. ma/Digital/USG(B/W, B/Doppler,Color, Color Doppler ,D- effect (2D,3D,4D).

    y Owner of the center Dr./Tech./Investor.

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    Objective conti.y Qualification level of the technicians.

    yAvailability of Doctor, Report generation time.

    y Test performed or done bywhom.yAvailability of patient information Regarding

    Test/Consent form.

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    Method used.

    yQuestionnaire

    method.

    y By Personal visit.

    Survey conducted by AHA to Improve Quality of Health services in India

    (Academy of Hospital Administration)AHA House, C 56/43 Institutional area, Sec-62

    Noida, U.P (INDIA)

    Email: [email protected] ,[email protected] Website: www.ahaindia.org

    Questionnaire for Diagnostic Imaging survey:1. Name of the center:

    2. Address

    3. Registration details of center Govt. body Private body Not registered

    4. If any, Registration no

    5. Who is owner of diagnostics center6. Types of test available Low complexity test Moderate complexity test

    High complexity test others

    7. Type of equipment available X-ray Digital conventionalUSG with color Doppler without color Doppler

    2D 3D 4DCT scan dual helical Multislice

    Mammography ECG8. Is Center BARC approved : yes no

    9.Facilities available in center - Specific test X-ray with all type of procedures

    fixed procedure IVP HSG Etc. Only USG Only CT Only MRI

    10. Service timing for center: 24x7 12x7 8x7 8x6

    11. Report generates after how many hour:.

    12. Availability of Radiologist Temporary/Visiting Permanent Outsou

    14. Technician Qualified Experienced Both

    15. Do you have your current commercial list/ cost list: Yes No

    16. Do you have any health checkup plan: Yes No

    17.During day who initially perform & interprets the test: Doctor Technicia

    18 During night who initially perform & interprets the test: Doctor Technician

    19 Do you have any quality control programme: Yes No.

    20. Do you explain the consent form to the patient Yes No.

    .

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    Observationy Total no. of X-ray center - 86

    y Total no. of USG center- 66

    y Total no. of CT-Scan center- 13y Total no. of MRI center- 4

    y Total no. of Mammography center 3.

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    Observation continued.Owner of X-ray centre.

    Doctor-46. 53.49%. Technician-34. 39.53%.

    Investor-6. 06.98%.

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    Observation continued..y Doctor owned X-ray center.i.e. 46

    y Level of qualification -

    Bsc.radiology tech - only 5. 10.89%

    Diploma radio. Tech - 10. 21.74%

    Unqualified Tech - 31. 67.39%

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    Continued..y Technician owned X-ray center i.e. 34.

    Level of qualification -

    Bsc.radiology tech-only 5. 14.71%

    Diploma radio, tech-19. 55.88%

    Unqualified Tech-10. 29.41%

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    Continued.y Investors X-ray center i.e. - 6.

    y Level ofQualificationDiploma tech - 4

    Unqualified tech -2

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    ContinuedTotalQualified tech

    - 42. 48.86 %

    - Bsc - 10.

    - Diploma holder -32.

    Total unqualified tech.-44 51.16 %

    qualified

    unqualified

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    Equipment typey Machine available on the

    Center.

    60 ma- 12.100 ma-39.

    200 ma-3.

    300 ma-17.

    500 ma-15.Digital X-ray-15.

    Digital print-1.

    60 ma100 ma200 ma

    300 ma500 ma

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    Availability of Doctory Permanent Available on the center-28,

    32.56%.

    y Temporary Dr. generallyvisiting inevening-

    -21, 24.42%.

    y Outsource (tech. fix meeting to thedoctor forreporting.)-21, 26.25%.

    y Not Required Dr., Generally on Doctor Demand-16,20%

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    Continued.

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    Procedural investigation-y IVP,HSG, = 24.

    y IVP = 3.

    y IVP,HSG,FLUROSCOPY = 12.

    y IVP & HSG performed byTech. done Bsc. - 2.

    Tech. diploma - 3.

    Unqualified - 9.

    Note : HSG performed by the male .technician. No needof female technician or nursing staff.

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    Ultrasonography :-y Total no. of USG center is 66.

    y Owner of USG center -Doctor 43. 66.15%.

    Investor - 12. 18.18%.

    Laboratory technician - 11. 16.67%.

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    Equipment type -y B/W =20.

    y B/W Doppler =1.

    y Color = 1.

    y Color = 47.

    y Color Doppler = 46.

    y 4D = 3.

    y 3D =12.

    y 2D = 3.

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    ContinuedyAvailability of Doctor

    Permanent availability of Doctor - 36.

    Temporary or on the call - 30.

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    CT-Scan :-y Total CT-Scan center in Patna. -13.

    y Owner of CT-scan center.Doctor - 7. 53.85%.

    Investor - 6. 46.15%.

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    Continued.y Level of qualification

    y Qualified technician- 3. 23.08%.

    y Unqualified technician 10. 76.92%.

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    MRI center :y Total MRI center in Patna 4.

    y Owner of MRI center.Doctor 3.

    Investor 1.

    Machine type - 1.5 Tesla

    NOTE - All Center have no qualified

    technician.

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    Mammographyy Total no. of Mammography 3.

    Note :-there is no qualified & trained technician.

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    Conclusion :y There is no anyQuality services that shows the state-of -the art Diagnostic facility available in Patna.

    y User of advanced technologydont knowwhat theyAredoing. They are just doing.

    y No. of unqualified technician shows Doctor alsointerested to accept them.

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    Final conclusion We Started A institution thathelp & raise the level of quality services

    Ruban Institute of health& hospital management,

    &

    Paramedical Institute.