绿色内镜:单次使用与可重复使用的尿尿管内镜的经济和生态评估
Marcel Schwinger1, Charis Kalogirou1
1Department of Urology and Pediatric Urology Julius Maximilians University Medical Center of Würzburg Würzburg Germany.
BJUI compass
|October 10, 2025
概括
单次使用的尿尿管镜是昂贵的,并且比可重复使用的更不环保,除非可重复使用的镜头需要经常维修. 根据诊所的经济和环境情况进行选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 环境科学 环境科学
背景情况:
- 在德国,尿道镜手术的数量正在增加.
- 医院面临着压力,需要平衡经济可行性与优质护理.
- 环境影响评估在医疗程序中变得越来越重要.
研究的目的:
- 进行一次性与可重复使用的尿路尿管镜的比较经济和生态分析.
- 评估卫生,成本和环境影响之间的权衡.
- 利用现实世界的数据进行实际评估.
主要方法:
- 分析了从2022年到2023年期间的210例尿尿管镜病例.
- 模拟OPS代码5-98b.0对诊断相关群体 (DRG) 和退款的影响.
- 经济评估:采购,维修,杀菌成本.
- 生态评估:制造,废物,再加工,运输,维修.
主要成果:
- 升级的DRG分类 (L20B与L20C) 在两年内产生了约62,000欧元的额外收入.
- 与可重复使用的设备相比,单次使用设备的额外成本为147,000欧元 (假设每件维修成本为300欧元).
- 单次使用的探测器每100个程序产生42公斤更多的二氧化碳.
结论:
- 单次使用的尿尿管镜只有在可重复使用的镜头具有高维修成本的情况下才具有经济可行性.
- 可重复使用的尿管镜可提供优越的生态性能,同时减少二氧化碳排放.
- 关于仪器选择的临床决策必须考虑特定的经济和环境背景.
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