术后远程初级护理,以获得经济和环境可持续的医疗保健
Ross Lathan1,2, Louise Hitchman3,4, Josephine Walshaw4,5
1Academic Vascular Surgical Unit, Hull University Teaching Hospital NHS Trust, Hull, UK. Ross.lathan2@nhs.net.
NPJ digital medicine
|May 21, 2025
概括
下肢动脉手术的远程跟踪模型显著降低了成本和碳排放. 远程首次查和远程首次治疗模式,与传统的亲自审查相比,提供了相当大的财务和环境节省.
科学领域:
- 血管外科 血管外科
- 卫生经济学 卫生经济学
- 医疗保健中的环境可持续性
背景情况:
- 下肢动脉手术的术后后护理传统上涉及面对面的预约.
- 越来越需要评估医疗保健提供模式的财务和环境影响.
- 远程患者监测为传统的随访策略提供了潜在的替代方案.
研究的目的:
- 量化远程跟进模型的财务成本 (fC) 和环境成本 (eC) 的节省.
- 将远程首次查 (RFS) 和远程首次治疗 (RFT) 模型与传统面对面审查进行比较.
- 评估将经济和环境评估纳入医疗保健干预措施的可行性.
主要方法:
- 一项前性观察性研究,涉及105名接受下肢动脉手术的患者.
- 两种远程跟踪模型 (RFS和RFT) 与标准面对面审查的比较.
- 测量每个模型的每位患者的财务成本和二氧化碳当量 (kgCO2e) 排放量.
主要成果:
- 远程首次查 (RFS) 导致每名患者平均减少30.8±26.2kgCO2e (71.0%的节省) 和60.17±42.98英 (87.0%的节省).
- 远程第一治疗 (RFT) 显示了更大的节约,平均减少38.5±17.4kgCO2e (88.8%的节约) 和每位患者83.29±45.51英 (87.0%的节约).
- 这两种远程模型都比传统的面对面评估 (p < 0.001) 显示出了统计学上显著的经济和环境益处.
结论:
- 下肢动脉手术的远程跟踪模型有效地减少了财务支出和环境影响.
- 与RFS模型相比,RFT模型似乎提供了更实质性的节省.
- 将财务和环境影响分析纳入医疗保健干预措施对于促进可持续性和减少气候变化至关重要.
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