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220928 ||| eng |
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|a 9789264457188
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|a 9789264544703
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|a 9789264625099
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|a The Supply of Medical Isotopes
|h Elektronische Ressource
|b An Economic Diagnosis and Possible Solutions
|c Organisation for Economic Co-operation and Development and Nuclear Energy Agency
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| 260 |
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|a Paris
|b OECD Publishing
|c 2019
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| 300 |
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|a 130 p.
|c 21 x 28cm
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|a The Tc-99m supply chain is technically complex and characterised by market imperfections -- Abbreviations and acronyms -- Health care providers have varying incentives to contain the cost of Tc-99m -- Current unbundled Tc-99m payments in Germany and Japan -- Health care systems require Tc‑99m to maintain patient care -- NM Diagnostic activity by country - Data sources and comparability -- The use of nuclear medicine diagnostics and Tc-99m varies significantly across countries -- Executive summary -- OECD Health Division Survey on Health Care Provider Payment for Nuclear Medicine Diagnostic Services -- Barriers to Full-Cost Recovery and Policy Options -- Foreword -- Broader responses to the 2009/10 Mo-99/Tc-99m shortage -- Key findings
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| 653 |
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|a Industry and Services
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| 653 |
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|a Social Issues/Migration/Health
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| 653 |
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|a Science and Technology
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| 710 |
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|a Organisation for Economic Co-operation and Development
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| 710 |
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|a Nuclear Energy Agency
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|a eng
|2 ISO 639-2
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| 989 |
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|b OECD
|a OECD Books and Papers
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|a 10.1787/9b326195-en
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| 856 |
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|a oecd-ilibrary.org
|u https://doi.org/10.1787/9b326195-en
|x Verlag
|3 Volltext
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|a 304
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|a 600
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|a 610
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|a 330
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|a This report explores the main reasons behind the unreliable supply of Technetium-99m (Tc-99m) in health-care systems and policy options to address the issue. Tc-99m is used in 85% of nuclear medicine diagnostic scans performed worldwide - around 30 million patient examinations every year. These scans allow diagnoses of diseases in many parts of the human body, including the skeleton, heart and circulatory system, and the brain. Medical isotopes are subject to radioactive decay and have to be delivered just-in-time through a complex supply chain. However, ageing production facilities and a lack of investment have made the supply of Tc-99m unreliable. This report analyses the use and substitutability of Tc-99m in health care, health-care provider payment mechanisms for scans, and the structure of the supply chain. It concludes that the main reasons for unreliable supply are that production is not economically viable and that the structure of the supply chain prevents producers from charging prices that reflect the full costs of production and supply
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