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不同灭菌包装材料使用成本与效率的卫生经济学研究 被引量:3
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作者 赵蒙蒙 陶立波 +5 位作者 孙育红 于婧 张颖 任晓梅 刘芳 卢晓燕 《中国医学装备》 2022年第3期153-157,共5页
目的:探讨硬质灭菌容器、棉布和无纺布3种灭菌包装材料在医院消毒灭菌使用的经济性,为医院制定相关管理决策提供科学参考。方法:使用结构化问卷,采用Delphi专家调查法,对医院内使用硬质灭菌容器、棉布和无纺布在器械再处理流程中的效率... 目的:探讨硬质灭菌容器、棉布和无纺布3种灭菌包装材料在医院消毒灭菌使用的经济性,为医院制定相关管理决策提供科学参考。方法:使用结构化问卷,采用Delphi专家调查法,对医院内使用硬质灭菌容器、棉布和无纺布在器械再处理流程中的效率、成本和医患感染风险开展调查,并对调查结果进行统计分析,在MS Excel中建立经济学分析模型,计算评估不同灭菌材料的经济性。结果:硬质灭菌容器、棉布灭菌包和无纺布灭菌包的平均总成本分别为20.56元、25.45元和31.47元。硬质灭菌容器、棉布灭菌包和无纺布灭菌包单次消毒工作时间分别为4.78 min、6.42 min和2.95 min。硬质灭菌容器医患感染风险最低,其次为无纺布灭菌包。敏感性分析结果验证基础分析结果的稳健性。结论:消毒灭菌工作中硬质灭菌容器平均总成本最低,感染风险最小,无纺布灭菌包的消毒时间消耗最低,在器械消毒处理流程中应合理选择使用。 展开更多
关键词 灭菌包装材料 Delphi专家调查法 成本 工作效率 卫生经济性
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Economic Cost-Effectiveness of the Implementation of the Quality Standard ISO 9001 in the Health Sector
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作者 Petkovska Sofija Gjorgjeska Biljana 《Journal of Modern Accounting and Auditing》 2014年第8期912-916,共5页
The quality standard ISO 9001 helps and enables organizations, regardless of the sector where they exist, to implement the quality management properly. Recent years have attracted attention to the possibilities of imp... The quality standard ISO 9001 helps and enables organizations, regardless of the sector where they exist, to implement the quality management properly. Recent years have attracted attention to the possibilities of implementing this standard in the health sector and the economic viability of that long-term investment. Health care organizations are recognizing the value system that combines all the criteria for managing quality, including management of business, compliance and management of procedural steps, and most importantly, the total quality management. In general, the implementation of ISO 9001:2008 standard for quality in health care institutions is seen as an opportunity to improve the quality of health care, and the entire process is to be completed by reducing costs and improving services in the sector. The implementation of a quality standard is directed towards patients, medical staff, and management in order to achieve reduction and complete relief from the pain, correct and professional services, conducted services with an appropriate skilled and professional care to obtain results that are comparable to known standards, and protection services with appropriate insurance policies, and the management expects the implementation of a quality system to justify and return their investments. The methods used in this paper are based on the quality standard ISO 9001:2008--Quality Management System and the Guidelines for Improving Performance, developed based on ISO 9004:2000: Quality Management System-43uidelines for Continuous Improvement. These guidelines contain a big part of the text in ISO 9004:2000, but they are supplemented with specific guidelines for their implementation in the health sector. The implementation of the system and monitoring guidelines evidently contributes to the overall resolution and closure of problems in over 50% of cases. This not only results in saving money for the institution, but it also globally leads to reduced variations in the healing process. Expected benefits from implementing the system in the health care sector in the Republic of Macedonia relate to providing a substantial foundation for obtaining all the necessary facilities and reduction of the costs by reducing the inappropriate staff in exactly determined departments. Implementation of future accreditation processes can be accomplished in a much shorter period of time, especially when there is good communication and cooperation among the departments. Improved working systems, processes, and final results inevitably contribute to happy and healthy patients. 展开更多
关键词 ISO 9001 ISO 9004:2000 guidelines for improvement
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胆木浸膏糖浆与小儿豉翘清热颗粒治疗小儿急性上呼吸道感染的最小成本分析 被引量:4
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作者 刘丹 李海龙 +3 位作者 曾力楠 易秋莎 吴斌 张伶俐 《中国循证医学杂志》 CSCD 北大核心 2022年第9期1007-1011,共5页
目的比较胆木浸膏糖浆与小儿豉翘清热颗粒治疗小儿急性上呼吸道感染的卫生经济性。方法采用前瞻性队列研究设计,收集2018年7月至2020年6月就诊于四川大学华西第二医院儿科门诊、急诊的急性上呼吸道感染患儿信息,根据治疗药物分为胆木浸... 目的比较胆木浸膏糖浆与小儿豉翘清热颗粒治疗小儿急性上呼吸道感染的卫生经济性。方法采用前瞻性队列研究设计,收集2018年7月至2020年6月就诊于四川大学华西第二医院儿科门诊、急诊的急性上呼吸道感染患儿信息,根据治疗药物分为胆木浸膏糖浆组(胆木组)和小儿豉翘清热颗粒组(豉翘组)。药物经济学评价从医疗卫生系统的研究角度,考虑直接医疗成本,包括挂号费、药费、检验费、检测费、治疗费等,根据两组疗效比较结果,采用成本效果分析或最小成本分析。结果共纳入1036例急性上呼吸道感染患儿,进行倾向性评分匹配后,胆木组和豉翘组分别纳入有效病例252例和223例。两组患儿症状痊愈时间差异无统计学意义,最小成本分析结果显示胆木组总费用(中位数差-21.55元)和药品总费用(中位数差-7.24元)更低(P<0.001),亚组分析、敏感性分析结果与主要分析结果一致。结论与小儿豉翘清热颗粒相比,胆木浸膏糖浆用于治疗儿童急性上呼吸道感染更具有卫生经济性。 展开更多
关键词 急性上呼吸道感染 队列研究 胆木浸膏糖浆 卫生经济性 最小成本分析
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