Hoeksema Janice
Perioperative Dpartment at Spectrum Bodgett Memorial Medical Center, Grand Rapids, MI, USA.
AORN J. 2010 Dec;92(6):632-41. doi: 10.1016/j.aorn.2010.04.020.
Hospitals continue to be challenged by rising expenses in an environment of moderate reimbursements. Health care costs have increasingly come under scrutiny and, with the advent of health care reform, will continue to be scrutinized. Perioperative nurses play a key role in evaluating product safety, effectiveness and efficiency, environmental concerns, and cost and how these factors affect patient care. Cost-saving opportunities that a hospital product evaluation committee can consider include choosing less expensive but equivalent supplies, comparing the expenses associated with disposable versus reusable products, limiting the use of custom supplies, determining ways to reduce linen use, and changing practices to eliminate products that are found to have little clinical value. Adopting effective product evaluation and purchasing practices can lead to reduced costs without affecting the quality of patient care.
在报销费用适中的环境下，医院仍面临着费用不断上涨的挑战。医疗保健成本日益受到审视，并且随着医疗保健改革的出现，将继续受到审查。围手术期护士在评估产品安全性、有效性和效率、环境问题以及成本，以及这些因素如何影响患者护理方面发挥着关键作用。医院产品评估委员会可以考虑的节省成本的机会包括选择成本较低但等效的用品，比较一次性产品与可重复使用产品的相关费用，限制定制用品的使用，确定减少亚麻布使用的方法，以及改变做法以淘汰那些被发现临床价值不大的产品。采用有效的产品评估和采购做法可以在不影响患者护理质量的情况下降低成本。
