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Table 9 Hospital MRI equipment configuration questionnaire

From: Assessment of equity and efficiency of magnetic resonance imaging services in Henan Province, China

  1. Instructions for filling in the form: (1) The time filled in the form should be accurate to month; (2) # Financing channels include: purchase with self-raised funds of the hospital, purchase with joint investment of the government and hospital, lease, enterprise investment, financing, acceptance of donations, others; (3) Configuration license () number: if approved, write “Configuration license number”; if not approved, write “No”; (4) (▲) Equipment obsolescence time: write the year and month of obsolescence if it has been eliminated, and write “No” if it has not been eliminated; (5) () Time to recover the acquisition cost: if the cost is not recovered temporarily, please fill in the estimated time to recover the cost; (7) The amount shall be filled in with the assistance of the Finance Department (Section) or the Equipment Department. If the data cannot be obtained, please estimate and indicate; (8) This table includes: MRI equipment used (including obsolete) and in use in the hospital from January 2013 to December 2017; (9) Please fill in the information of all MRI equipment configured by the hospital. For units with two or more MRI equipment, the equipment number should be consistent with the equipment number in other tables; (10) This form is recommended to be filled by the department head or secretary; (11) Please complete and upload the form within 2 weeks after receiving it.