医护人员个人防护设备的经济价值
Theodore Bolas1, Kalin Werner2,3, Sarah Alkenbrack4
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
PLOS global public health
|June 22, 2023
概括
对埃博拉和MRSA而言,为医疗保健工作者 (HCW) 投资个人防护设备 (PPE) 是非常具有成本效益的. 适当的个人防护设备显著减少了感染,并节省了医疗保健系统的资金,为投资提供了强大的财务回报.
科学领域:
- 卫生经济学 卫生经济学
- 传染病控制和控制传染病
- 职业安全 在职业安全.
背景情况:
- 医疗保健工作者 (HCWs) 面临着埃博拉病毒和甲素耐药黄金葡萄球菌 (MRSA) 等传染病的重大风险.
- 之前的研究表明,个人防护设备 (PPE) 在2020年对COVID-19的保护具有成本效益.
- 评估个人防护设备的成本效益对于流行和流行传染病的准备工作至关重要.
研究的目的:
- 评估个人防护设备 (PPE) 的成本效益,以保护医疗保健工作者 (HCW) 免受埃博拉病毒和耐甲基黄金葡萄球菌 (MRSA) 的侵害.
- 从付款人的角度来看,比较各种PPE使用场景的经济影响.
- 基于对个人防护设备用于传染病控制的现有经济分析.
主要方法:
- 开发针对埃博拉和MRSA的两个不同的决策分析模型.
- 利用付款人的角度来比较PPE使用场景的成本和影响.
- 应用贝叶斯的多变量灵敏度分析来考虑参数不确定性.
主要成果:
- 对于埃博拉病毒,适当的个人防护设备每次HCW接触成本为13.04美元,减少了97%的感染,ICER为3.98美元/DALY,产生了1.014%的ROI.
- 对于MRSA,适当的PPE每次HCW遭遇成本为0.88美元,减少了53%的感染,ICER为362.14美元/DALY,产生了2,294%的ROI.
- 投资适当的个人防护设备是埃博拉和MRSA的主要策略,比不投资更具成本效益.
结论:
- 投资用于HCW的个人防护设备是减轻埃博拉和MRSA的占主导地位和高度成本效益的战略.
- 个人防护设备为两种疾病提供了大量的医疗系统节省和大量投资回报.
- 虽然个人防护设备对两者都具有成本效益,但对于埃博拉病毒而言,个人防护设备的成本效益相对比MRSA要高,因此需要进一步研究个人防护设备供应链的弹性.
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