净化蛋白衍生物 (PPD) 测试的时间和生产力成本的评估
David J Lee1, John P Kane, Alicia Hargreaves
1Author Affiliations: Warren Alpert Medical School of Brown University, Providence, RI (Drs Lee and Kane); Employee and Occupational Health Services, Lifespan Health System, Providence, RI (Mss Hargreaves and Parrillo); Department of Research, New York Medical College, Valhalla, NY (Mr. Park); Division of Infectious Diseases, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI (Dr Mileno), and Harvard Medical School, Brigham & Women's Hospital, Boston, MA (Dr Eltorai).
每年净化蛋白衍生物 (PPD) 结核病皮肤检测导致医疗保健工作者和雇主大量的时间和生产力损失. 评估更具成本效益的结核查方法是必不可少的.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 传染病查 传染病查
背景情况:
- 纯化蛋白衍生物 (PPD) 皮肤检测是医疗保健工作者每年进行结核病标准查的标准.
- 关于PPD测试成本效益的数据有限.
- 每年进行PPD测试对医疗保健系统来说是相当大的时间和财务投入.
研究的目的:
- 量化与PPD测试相关的时间损失和财务负担,用于医疗保健工作者.
- 估计PPD测试对整个系统和全国的经济影响.
主要方法:
- 对医院医疗保健工作者进行了一项调查,以收集他们在诊所和旅行中花费的时间的数据.
- 记录了职业,在PPD阅读站点花费的时间和旅行时间.
- 医院系统和全国范围的时间和生产力损失是基于调查数据计算的.
主要成果:
- 对于288名受访者来说,PPD测试导致超过165小时的损失和4631.71美元的生产力损失.
- 15,674名员工的全系统损失估计超过9000小时和252,000美元,占年度运营费用的11%以上.
- 在全国范围内,PPD测试可能会导致超过1000万小时的损失和2.89亿美元的生产力损失,1800万医疗保健工作者.
结论:
- 对于PPD测试,需要进行后续检查,导致员工大量的时间损失.
- 由于63%的时间损失发生在带薪工作时间内,PPD测试导致雇主大幅度的生产力损失.
- 由于经济影响很大,需要评估更具成本效益的结核病检测策略.
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