Baykasoğlu Adil, Dereli Türkay, Yilankirkan Nevra
University of Gaziantep, Department of Industrial Engineering, Gaziantep, Turkey.
Am J Infect Control. 2009 Apr;37(3):215-26. doi: 10.1016/j.ajic.2008.10.031. Epub 2009 Feb 12.
The selection of medical textiles is an important subject for the health care sector in terms of benefits and costs. The basic cost calculation does not always yield to proper results in product selection; it would even mislead. It is usually a complicated task to give a decision whether to use reusable or single-use products, especially when the patient and surgeons lives are in consideration. The objective of the present paper is to carry out a cost/benefit study to help hospital managers and surgical team in comparing reusable and single-use surgical gowns and drapes.
A detailed case study was carried out to determine the net benefits and costs associated with reusable and single-use surgical gown and drape use in the University of Gaziantep Hospital. The Analytic hierarchy process (AHP) is used to evaluate qualitative benefit data. The relevant data were determined through the literature research and interviews with the doctors, administrators, and personnel of related departments (such as infection control, cleaning, and others) in the hospital. The benefit/cost ratios of the alternatives have been examined, and a sensitivity analysis has been carried out to measure the impact of changes in costs and benefits.
After the study, it is concluded that, even though cost is relatively higher, single-use gown and drape sets provide the highest benefit rates. Reduction of prices of single-use sets will make them more competitive and attractive in the health care sector.
从效益和成本角度来看,医用纺织品的选择是医疗保健领域的一个重要课题。基本的成本计算在产品选择中并不总能得出恰当的结果,甚至可能产生误导。特别是在考虑患者和外科医生生命安全的情况下,决定使用可重复使用产品还是一次性产品通常是一项复杂的任务。本文的目的是进行一项成本/效益研究,以帮助医院管理人员和手术团队比较可重复使用和一次性手术衣及手术单。
在加济安泰普大学医院进行了一项详细的案例研究,以确定与使用可重复使用和一次性手术衣及手术单相关的净效益和成本。层次分析法(AHP)用于评估定性效益数据。相关数据通过文献研究以及与医院医生、管理人员和相关部门(如感染控制、清洁等部门)人员的访谈确定。研究了各替代方案的效益/成本比,并进行了敏感性分析以衡量成本和效益变化的影响。
研究后得出结论,尽管一次性手术衣和手术单套装成本相对较高,但提供的效益率最高。降低一次性套装的价格将使其在医疗保健领域更具竞争力和吸引力。