在9个国家检查了Ipas手动真空吸入和管的重复使用和更换程序
Elisabeth Eckersberger1, Sally Dijkerman1, Megan Perkins2
1Ipas, Chapel Hill, North Carolina, USA.
概括
手动真空吸收 (MVA) 仪器平均被重复使用34次,重复使用频率差异很大. 功能故障,而不是使用量,驱动了这些基本生殖健康工具的替代决策.
科学领域:
- 生殖健康 生殖健康
- 医疗器械管理 医疗器械管理
- 全球卫生平等全球卫生平等
背景情况:
- 手动真空吸收 (MVA) 是早期怀孕管理和流产护理的关键程序.
- 了解MVA仪器的生命周期对于确保全球安全有效的生殖保健服务至关重要.
研究的目的:
- 调查重复使用模式,更换原因以及更换Ipas手动真空吸收 (MVA) 仪器的障碍.
- 评估MVA仪器重复使用的频率,并确定影响其丢弃和更换的因素.
- 了解与MVA仪器可用性相关的供应链动态.
主要方法:
- 进行了一项混合方法的横截面研究,涉及9个国家的352名医疗保健提供者.
- 与供应商和供应链利益相关者进行的定性访谈重点是Ipas MVA工具的采购和替代实践.
- 数据收集发生在2019年至2021年之间.
主要成果:
- 医疗保健提供者报告MVA仪器平均重复使用34.4次,具有显著的差异 (1至500次使用).
- 仪器故障,而不是一定的使用次数,是重复使用和更换的主要驱动因素.
- 大多数供应商 (85%) 报告说,他们有能力在需要时更换仪器,一半的供应商表示没有供应链问题.
结论:
- 追踪MVA仪器的重复使用不是参与卫生设施的常见做法.
- 在MVA仪器重复使用的频率和跟踪它们的程序中存在显著的变化.
- 基于仪器条件的供应商驱动的决策是MVA仪器更换的关键.
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