混合与一次性手术托盘的临床,环境和经济结果的多中心研究协议 (项目REUSABLE)
Florine I de Haes1, Marit van Barreveld1,2, Niek H Sperna Weiland1,3
1Center for Sustainable Healthcare, Amsterdam UMC, Amsterdam, Netherlands.
International journal of surgery protocols
|March 2, 2026
概括
可重复使用的手术托盘为一次性托盘提供了一个可持续的替代方案,大大减少了医疗保健的废物和排放. 本研究评估了它们的环境和经济可行性,以促进更绿色的临床实践.
科学领域:
- 环境科学 环境科学
- 卫生经济学 卫生经济学
- 可持续的医疗保健 可持续的医疗保健
背景情况:
- 医疗保健通过排放和废物对环境污染做出了重大贡献.
- 手术室产生大量的医院废物,主要来自一次性手术托盘.
- 采用可重复使用托盘的障碍包括财务问题和专业行为,尽管可能节省成本.
研究的目的:
- 为了比较混合 (可重复使用的窗/长袍) 与一次性手术手术托盘的环境影响和成本.
- 为了经济评估,将环境影响评估纳入卫生技术评估 (HTA).
- 为卫生政策提供信息,并指导医院采用可持续实践.
主要方法:
- 在荷兰三家医院进行的一项多中心研究.
- 生命周期评估 (LCA) 用于评估17个类别的环境影响.
- 医疗技术评估 (HTA) 分析财务可行性和成本.
- 对3 x 150例外科病例进行分析,以确定其可持续性和可实施性.
主要成果:
- 收集关于托盘使用,成本和医疗保健专业人员接受情况的数据.
- 货币化环境影响,将可持续性纳入经济评估.
- 评估可重复使用与一次性使用托盘的环境和经济效益.
结论:
- 开发可持续的程序托盘和将环境方面纳入HTA的方法.
- 提供欧盟政策简报,支持医院采用可重复使用托盘.
- 为促进可持续性而促进可重复使用的临床实践的接受和采用产生见解.
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