医院可回收一次性使用医疗用品处置模式研究

Disposal modes of recyclable disposable medical supplies in hospitals

目的了解各级医院可回收一次性使用医疗用品产生数量,探讨其科学回收管理模式。方法从济宁和青岛两市辖区内分别随机抽取40所医院作为研究对象,其中三级医院4所,二级医院20所,一级医院16所,通过现场和发放调查问卷两种方式,掌握各种处置模式运行下的医院对于可回收一次性使用医疗用品的管理现况。结果可回收一次性使用医疗用品平均床位日产量分别为三级医院为95.44g、二级医院118.46g、一级医院80.16g,两市平均床位日产量为98.02g;抽调的40所各级医院对可回收一次性使用医疗用品规范处置的仅14所,占全部抽查医院的35.0%;其中由医院感染管理科管理模式运行下的10所医院中,全部规范处置,规范处置率达100.0%;而由后勤部门管理模式运行的26所医院中,规范处置的1所,仅占其管理医院的3.8%。结论由医院感染管理科具体负责对可回收一次性使用医疗用品实施管理的管理模式是切实可行的,该管理模式不仅可以减少环境污染、降低处置成本,而且明显增加经济效益。

OBJECTIVE To investigate the amounts of the recyclable disposable medical supplies in various levels of hospitals and explore the scientific recyclable management mode of the medical supplies .METHODS Totally 40 hospitals were randomly extracted from two jurisdiction areas including Jining and Qingdao ,including 4 three A hospitals ,20 two A hospitals ,and 16 one A hospitals ,and the management of the recyclable disposable medical supplies under various disposable modes was investigated by means of onsite survey and distribution of question-naires .RESULTS The average bed-yield per day was 95 .44 g in the three A hospitals ,118 .46 g in the two A hos-pitals ,80 .16 g in the one A hospitals ,and the average bed-yield per day of the two cities was 98 .02 g .Among the 40 extracted hospitals ,only 14 hospitals conducted the standardized disposal of the recyclable disposable medical supplies ,accounting for 35 .0% ;all of the 10 hospitals that were operated under the management mode of infec-tion control department conducted the standard disposal ,with the rate of standard disposal of 100 .0% .Of the 26 hospitals that were operated under the management mode of logistics department ,only 1 hospital conducted the standard disposal ,accounting for 3 .8% .CONCLUSION It is feasible to conduct the management mode of the recy-clable disposable medical supplies taken charge by the infection control department ,which can not only reduce the environmental pollution and cut the disposal cost but also remarkably increase the economic benefits .