Medical Imaging in Global Public Health: Donation, Procurement, Installation, and Maintenance

  • Robert MalkinEmail author
  • Billy Teninty


Medical imaging equipment can have tremendous clinical value and is often absent in the developing world. But, like all equipment, even the most basic radiology imaging systems require complex considerations to maintain quality, most notably maintenance and repair. The costs of maintenance and repair generally exceed the costs of purchase; thus, donating a piece of imaging equipment does not necessarily save the recipient hospital money. Due to this reality, in addition to failure in planning and regulating these processes, nearly 50% of all donated X-ray equipment is out of service. Thus, donating medical imaging equipment often leaves the recipient hospital with additional financial burdens but without additional clinical abilities. This chapter reviews considerations for improving the probability of a successful donation of medical equipment.


Donations Medical equipment Maintenance Service contracts Total cost of ownership Charity Aid Developing world 



The authors wish to thank Berndt Schmit, MD, MBOE, for his generous contributions.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Biomedical EngineeringDuke UniversityDurhamUSA
  2. 2.Global Medical Equipment Repair TrainingAlbuquerqueUSA

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