可重复使用的胃肠内镜对NHS的成本:微成本研究的结果
Mandana Zanganeh1, Yufei Jiang2, Norman Waugh3
1Centre for Health Economics at Warwick, Warwick Medical School, University of Warwick, Coventry, UK mandana.zanganeh@warwick.ac.uk.
BMJ open gastroenterology
|October 22, 2025
概括
每次胃肠内镜手术的总成本为107.34英,其中资本收购是最大的支出. 这项研究量化了NHS中可重复使用的内镜成本.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 医疗器械管理 医疗器械管理
背景情况:
- 可重复使用的胃肠道内镜对于诊断和治疗至关重要.
- 这些设备的准确成本数据,包括采购,维护和再加工,对于医疗保健预算和经济评估至关重要.
- 之前的研究已经提供了估计,但实践的直接观察提供了更精确的理解.
研究的目的:
- 量化与可重复使用的胃肠内镜相关的每手术成本.
- 确定这些设备的采购,维护,维修和再加工的主要成本驱动因素.
- 为国家卫生服务 (NHS) 设置中的经济评估提供数据.
主要方法:
- 进行了自下而上的微成本分析.
- 资源使用数据是通过直接观察和在一家大型NHS医院的员工采访收集的.
- 成本类别包括重新加工的人员时间,材料,设备采购和维护/维修.
主要成果:
- 每次手术的平均再处理时间为35分钟,成本为23.57英 (22%).
- 再加工材料的成本为每次手术16.41英 (15%).
- 资本收购成本为46.9英 (44%),维护/维修成本为20.46英 (19%),导致每个程序的总成本为107.34英.
结论:
- 资本成本是可重复使用的胃肠内镜每手术费用的最重要的驱动因素.
- 观察到的成本与现有文献可比,验证了研究结果.
- 该方法可用于评估需要密集再加工的其他医疗器械的成本.
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