虚拟护理在阻塞性睡眠呼吸暂停和有溢液的中耳炎中的碳节约潜力
Austin Heffernan1, Annie Lalande2,3, Rashmi Chadha4,5
1Division of Otolaryngology-Head and Neck Surgery, (Department of Surgery) University of British Columbia Vancouver British Columbia Canada.
Laryngoscope investigative otolaryngology
|April 16, 2024
概括
虚拟护理可以显著减少儿科手术途径的碳排放. 实施阻塞性睡眠呼吸暂停和中耳炎与输液的虚拟访问可以实现每位患者大幅节省碳.
科学领域:
- 环境健康 环境健康
- 医疗保健管理的管理
- 儿科手术 儿科手术
背景情况:
- 医疗保健系统通过患者的旅行和设施运营,有助于碳排放.
- 对于阻塞性睡眠呼吸暂停和带出水的中耳炎等疾病的儿科外科护理途径通常涉及多次亲自访问.
- 虚拟护理的整合为减少医疗保健提供对环境的影响提供了机会.
研究的目的:
- 量化与将虚拟护理纳入儿科阻塞性睡眠呼吸暂停 (OSA) 和有溢液的中耳炎 (OME) 手术途径相关的潜在碳节约.
主要方法:
- 使用不列颠哥伦比亚省医疗保健系统数据,采用模拟队列研究设计.
- 为儿科OSA和OME开发了护理途径,并模拟了虚拟访问以取代面对面的预约.
- 估计了运输和虚拟访问的排放量,并计算了人口加权平均值.
主要成果:
- 在OSA途径中,将1,2或3次面对面访问取代虚拟访问,可以分别减少19.9%,39.9%和59.8%的排放量.
- 对于OME途径,整合1,2或3次虚拟访问导致潜在节省16.6%,33.2%,49.7%.
- 在OSA途径中最多进行3次虚拟访问,每位患者可以节省超过2156公斤CO2e.
结论:
- 虚拟护理的整合可以大大减少儿科外科护理中的理论碳排放.
- 对儿科OSA和OME患者进行高达50%的临床接触,可为环境带来显著的好处.
- 通过优化虚拟护理的实施,个体患者的排放节约可以超过2150千克CO2e.
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