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手术技术的决策因素和对环境可持续性的态度
Kim E van Nieuwenhuizen1, Herman J Friedericy2, Anne C van der Eijk3,4
1Department of Obstetrics and Gynaecology, Leiden University Medical Centre, Leiden, The Netherlands.
Annals of surgery
|March 11, 2025
概括
手术技术的选择优先考虑患者的偏好和住院时间,而不是碳足迹. 解决时间和成本等障碍对于改善外科实践的可持续性至关重要.
科学领域:
- 手术决策的制定过程
- 医疗保健中的环境可持续性
- 手术技术的选择和选择.
背景情况:
- 气候变化对健康构成重大风险.
- 外科手术对医疗保健的碳足迹做出了重大贡献.
研究的目的:
- 检查影响外科手术技术选择的因素.
- 评估碳足迹在决策中的作用.
- 调查外科医生的态度,行为和环境可持续性的障碍.
主要方法:
- 使用离散选择实验 (DCE) 和问卷进行横截面研究.
- 接受调查的讲荷兰语的外科医生,妇科医生和泌尿科医生都经历过微创手术.
- 根据停留时间,患者偏好,经验,成本,指导方针和碳足迹来评估选择.
主要成果:
- 患者偏好 (27.35%) 和术后停留时间 (21.41%) 是技术选择中最重要的因素.
- 碳足迹是最不重要的因素 (7.90%).
- 报告说,人们对气候变化 (90%) 和个人行为变化 (85%) 感到高度关注,但时间 (63%),成本 (64%) 和培训不足 (58%) 等障碍阻碍了工作场所可持续发展的努力.
结论:
- 手术决策优先考虑患者因素而不是环境影响.
- 需要解决手术可持续性的障碍.
- 开发和标准化可持续的外科技术和设备对于广泛采用至关重要.
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