画像診断機器サービスの見通し：2023年

米国の病院は、画像診断機器の資本コストと運用コストを精査しています。収益源が圧迫され続ける中、機器のメンテナンス、修理、付加価値サービスに対する補償は、予算の決定において引き続き重要な考慮事項となっています。画像診断機器の使用と導入が拡大し続ける中、病院やヘルスケアシステムは、運用コストを削減し、サポートサービスの価値を向上させるために、画像診断施設全体で保証後のサービス契約を統合し、標準化しようとしています。

当レポートでは、米国の病院が11の主要な画像診断機器について利用している保証後サービス契約の種類について調査しています。画像診断機器メーカー（OEM）対サードパーティサービスプロバイダーの市場シェアを定量化し、モダリティ別に異なるタイプのサービス契約手配の利用状況、好まれるサポートサービスのタイプを説明し、将来のサービス契約と好まれる契約タイプに対する優先順位の動向などをまとめています。

目次

第1章 背景と目的

第2章 エグゼクティブサマリー

第3章 調査手法

第4章 画像機器を管理する際の部門の優先事項

第5章 米国の病院別画像機器サービス支出

第6章 保証後サービスに使用されるサービスプロバイダー

第7章 モダリティ別サービス手配の現在の使用状況

第8章 モダリティ別「マルチOEM」サービス契約の現在の使用状況

第9章 モダリティ別将来のサービス契約の優先取り決め

第10章 画像サービス契約の優先順位

第11章 サービス契約の意思決定者

第12章 調査回答者の人口統計

第13章 付録

U.S. hospitals have been closely scrutinizing their capital and operating costs for imaging equipment. With continued pressure on their revenue sources, coverage for equipment maintenance, repair, and value-added services continue to be critical considerations in such budgetary decisions. As their use and deployment of imaging equipment continues to grow, hospitals and healthcare systems are seeking to consolidate and standardize their post-warranty service contracts across their imaging locations to decrease their operating costs, while gaining improved value for the support services they receive.

IMV's “2023 Diagnostic Imaging Equipment Service Outlook Report ” provides insight into the types of post-warranty service arrangements used by U.S. hospitals for eleven key imaging modalities. This report quantifies the market shares of the imaging equipment manufacturers (OEMs) vs. third-party service providers, describes the use of different types of service contract arrangements by modality, the types of support services preferred, and identifies trends in priorities for future service contracts and preferred contract types.

Major imaging modalities covered in this report:

• CT scanners

• Fixed MRI scanners

• Fixed PET or PET/CT

• Fixed Nuclear Medicine cameras (SPECT/CT, SPECT-only, and planar-only units)

• Fixed C-arm systems used primarily for interventional and/or cardiac procedures (e.g., specials, angio labs, vascular labs, cath labs, hybrid OR)

• Portable C-arm units

• Fixed Radiographic Fluoroscopy (RF) units (without fixed C-arms)

• Fixed General X-ray Radiography units (DR, CR, or analog)

• Mobile general x-ray units

• X-ray mammography units

• Ultrasound units

Questions answered by this report:

• What are the key department priorities for managing imaging equipment over the next few years?

• What is the estimated market size of hospital service-related spending?

• How is this market split between contracts with OEMs vs. third-party service providers, as well as service purchased outside of contract coverage?

• What % of service budgets are spent by modality, including CT, MR, PET, NM, fixed & portable C-arms, RF, general x-ray, mammography, and ultrasound?

• What type of post-warranty service arrangements is preferred for each imaging modality, including full- service, shared-service, and multi-vendor contracts?

• What mix of OEM vs. third-party service providers are currently being utilized for each imaging modality?

• To what extent do existing service arrangements include value-added features such as on-site response time, remote diagnostics, and cybersecurity services?

• What types of service contract issues are priorities for hospitals to address over the next few years?

• What will be the preferred coverage types and support services for inclusion in future service contracts?

• Who are the key decision makers for service contract arrangements?

Table of Contents

• 01. Background and Objectives
• 02. Executive Summary
• 03. Methodology
• 04. Department Priorities when Managing Imaging Equipment
• 05. Imaging Equipment Service Spending by U.S. Hospitals
• 06. Service Providers used for Post-Warranty Service
• 07. Present use of Service Arrangements, by Modality
• 08. Present use of "Multi-OEM" Service Contracts, by Modality
• 09. Preferred Arrangements for Future Service Contracts, by Modality
• 10. Imaging Service Contract Priorities
• 11. Decision Makers for Service Contracts
• 12. Survey Respondent Demographics
• 13. Appendix