购买,维护,微生物控制和再处理可重复使用的十二指镜的成本
Dominique Thiveaud1, Fanny Durand2, Joseph Hajjar3
1Pharmacy, Euro-Pharmat, Hôtel Dieu, Toulouse, France.
Endoscopy international open
|November 9, 2023
概括
重复使用的十二指镜每次进行内镜逆行胆血管细胞造影 (ERCP) 程序的实际成本比理论模型所建议的要低. 这项研究突出了法国十二指镜再处理的观察和计算成本之间的差异.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健经济学 医疗保健经济学
- 感染控制 感染控制
背景情况:
- 评估可重复使用的内镜再加工成本至关重要,但先前发现的外部有效性仍然是一个挑战.
- 了解重新处理可重复使用的十二指镜的真实成本对于医疗保健管理和资源配置至关重要.
- 之前的研究还没有完全捕捉到现实世界再加工成本的复杂性.
研究的目的:
- 为了评估与可重复使用的十二指镜再加工相关的综合成本,在法国进行内镜逆行胆血管细胞谱 (ERCP) 程序.
- 为了将观察到的成本与十二指镜再处理的理论成本模型进行比较.
- 确定影响十二指镜再加工成本变化的因素.
主要方法:
- 采用混合方法方法,结合来自四家法国医院的观测数据 (2019年12月至2020年12月) 和理论成本建模.
- 利用基于十二指镜再处理国家指南 (2016年和2018年) 的临时调查.
- 建模成本假设平均工作量为每次十二指镜每年223次ERCP手术.
主要成果:
- 每个ERCP可重复使用的十二指镜再加工的平均观察成本为80.23欧元 (SD 3.77欧元),包括购买,维护,微生物控制和再加工.
- 理论成本的范围更高:€182.71 (手动,没有EDC),€191.36 (手动,有EDC),€235.25 (自动化内镜再处理[AER],没有EDC),和€253.62 (AER,有EDC).
- 在所有再加工方法中,观察到的成本始终低于理论估计.
结论:
- 由于程序,设备,数量,人员和组织结构的差异,观察到的再加工成本在各医院之间存在差异.
- 理论成本模型高估了实际的再加工费用,这表明其预测准确性的局限性.
- 差异可能源于调查中未测量的成本或有效实施再加工指南的挑战.
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