title: Investment in radiotherapy infrastructure positively affected the economic status of an oncology hospital.
abstract: BACKGROUND
  Radiotherapy is among the most efficient treatment methods of cancer. However, a radiotherapy base needs a substantial financial investment, especially before the beginning of its operation, and in some cases, in developing countries such a huge investment may cause some financial disturbances for a hospital concerned.
  
  
  OBJECTIVE
  To assess the influence of investments modernizing the radiotherapy base in the period between 2000 and 2007 on the financial condition of the oncology hospital in the region with population of about 3 million.
  
  
  METHODS
  Financial reports and medical statistics for the period between 2000 and 2007 from the studied oncology hospital and a recognized staffing model, as well as data on epidemiological situation of the region have been used to calculate the economic effects of financial investment in the radiotherapy base.
  
  
  RESULTS
  The growth of RT therapeutic potential has been driven by two cost-effective investment programmes. The total amount invested in both programmes was PLN 127,191,000. The number of radiotherapy patients treated in the hospital increased from 2301 in 2000 to 4799 in 2007 with a the same number of five therapeutic machines, although all five of them were replaced over that period. Investments modernizing the radiotherapy base lead to a significant increase in depreciation and operating costs, which adversely affects financial results of the hospital.
  
  
  CONCLUSIONS
  Long term trends showed that investments had positive influence on hospital performance shown both in increased income and larger number of patients treated.
authors.affiliation: Greater Poland Cancer Centre, Garbary 15 Street, 61 - 866 Poznań, Poland.
authors.forename: Mirella
authors.initials: M
authors.lastname: Smigielska
authors.affiliation: Greater Poland Cancer Centre, Garbary 15 Street, 61 - 866 Poznań, Poland ; Department of Electroradiology, University of Medical Sciences, Garbary 15 Street, 61 - 866 Poznań, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Milecki
keywords: Economic analysis; Investment; Organization and management; Radiotherapy