透析器的再加工和再利用:在低收入和中等收入国家平衡成本和质量的技术解决方案
Suresh Sankarasubbaiyan1, Kamal D Shah1, Vikram Vuppula1
1NephroPlus Health Services Pvt Ltd, Hyderabad, India.
The International journal of artificial organs
|August 28, 2023
概括
在血液透析 (HD) 中重新使用透析仪可以降低发展中国家的成本. 技术的进步可能使安全和有效的再加工成为可能,以平衡优质护理与可负担的置换疗法 (KRT) 的价格.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健经济学 医疗保健经济学
- 生物医学工程 生物医学工程
背景情况:
- 血液透析 (HD) 是全球最常见的替代疗法 (KRT),在发展中国家有显著增长.
- 由设备,消耗品和劳动力驱动的KRT成本带来了挑战,特别是在低收入和中等收入国家 (LMICs).
- 透析器重复使用,一个潜在的节约成本的措施,由于安全问题,在发达国家很大程度上被放弃了,尽管对现代透析器的证据很弱.
研究的目的:
- 探索在资源有限的环境中降低血液透析的经常性成本的策略.
- 为了解决发展中国家在扩大HD接入的负担能力方面面临的困境.
- 为安全和有效的透析器再加工提出先进的技术方法.
主要方法:
- 审查当前的实践和证据,关于透析器在血液透析重复使用.
- 分析替代疗法的成本驱动因素.
- 概念化再加工战略,整合移动和互联网技术.
主要成果:
- 反对现代透析器重复使用的证据并不强大,缺乏经过精心设计的随机试验.
- 由于工业化和制造商的利益,一次性透析器普遍存在,增加了成本.
- 发展中国家需要具有成本效益的解决方案来扩大高清服务.
结论:
- 标准化的再处理协议优先考虑安全性和有效性是需要用于透析器的重复使用.
- 利用移动和互联网技术可以促进安全和高效的透析器再加工.
- 拟议的方法旨在确保HD治疗的有效性,安全性,资源效率和成本控制.
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