对结直肠外科手术中环境可持续干预措施的成本比较分析
Rabiya Aseem1, Siya Lodhia1, Timothy Rockall1
1General Surgery, Royal Surrey County Hospital, Guildford, UK.
在结直肠外科手术中采用可重复使用的手术用品,如波器件和织品,可以显著降低成本并减少医院的碳排放. 虽然一些可重复使用的物品被证明是具有成本效益的,但其他需要进一步分析可持续医疗保健的财务可行性.
科学领域:
- 医疗保健的可持续性 医疗保健的可持续性
- 手术创新 在外科创新.
- 造价效益分析 造价效益分析
背景情况:
- 手术室对医院的碳排放做出了重大贡献.
- 结肠直肠手术为可持续的实践变化提供了机会.
- 财务评估对于实施可持续医疗保健解决方案至关重要.
研究的目的:
- 在结直肠外科手术中进行一次性与可重复使用的手术用品的成本比较分析.
- 评估采用可重复使用的替代品的财务影响.
- 在医疗保健中为可持续的实施决策提供信息.
主要方法:
- 对65例可选腹腔镜结直肠切除术的前性成本比较研究.
- 干预措施包括可重复使用的端口,和装置和织品.
- 成本分析使用每案单元定价,并对5年寿命进行灵敏度和值分析.
主要成果:
- 在65个案例中,观察到的总储蓄为14,239.03英.
- 可重复使用的和声器件和织品显示了持续的成本节约.
- 可重复使用的端口在观察到的数量和价格下没有显示成本节约.
结论:
- 选择性地采用可重复使用的外科器械,特别是和器械和织品,可以产生可衡量的财务效益.
- 其他可重复使用的物品在当前的数量和价格下可能会产生更高的成本.
- 一个可转移的个案分析框架可以指导当地实施可持续发展目标的决策.
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