长期护理设施中手部卫生改善策略的成本分析
Anja Haenen1, Eddy Adang2, Sabine de Greeff3
1Department IQ Health, Scientific Center for Quality of Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands; Department Antimicrobial Resistance and Healthcare Associated Infections, National Institute for Public Health and the Environment (RIVM), Center for Infectious Disease Control/Epidemiology and Surveillance Unit, Bilthoven, the Netherlands.
荷兰长期护理机构 (LTCF) 的手部卫生策略通过降低感染费用来节省成本. 这种多方面的方法在经济上是有益的,尽管建议进一步进行经济评估.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 预防和控制感染的预防和控制.
- 公共卫生 公共卫生
背景情况:
- 在长期护理设施 (LTCF) 中,遵守手部卫生至关重要,以预防与医疗相关的感染.
- 实施多方面的策略可以改善手部卫生,但需要经济评估.
研究的目的:
- 评估荷兰LTCF的量身定制,多方面的手部卫生改善策略是否具有成本效益.
- 将干预成本与减少感染相关费用的节省成本进行比较.
主要方法:
- 一个回顾性成本分析与一个阶梯集群随机对照试验一起进行.
- 该研究包括14名荷兰LTCF,比较了通常护理,干预和干预后期间的成本.
- 使用多层次分析来评估与感染相关的成本和干预费用.
主要成果:
- 在这三个时期中,总成本没有发现任何显著的整体差异.
- 每个LTCF的平均每周感染相关费用在通常护理期间 (680欧元) 是最高的.
- 手部卫生策略显示了潜在的成本节约,每周的成本在干预和干预后期间下降,特别是如果效果持续超过12个月.
结论:
- 在LTCF中,多方面的手部卫生改善策略带来了成本节约.
- 本研究提供了LTCF中这种战略的第一个经济分析.
- 需要进一步的经济评估来证实这些发现.
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