McKeon J L, Saunders N A, Murree-Allen K
Med J Aust. 1987 Jan 19;146(2):73-8. doi: 10.5694/j.1326-5377.1987.tb136266.x.
In October 1982, a clinic was planned at The Royal Newcastle Hospital to review the usage of domiciliary oxygen that was funded by the Provision of Aids for Disabled Persons scheme in the Hunter Region of New South Wales. Patient review included an assessment of the indications for domiciliary oxygen, education in the use of oxygen, the efficiency of delivery arrangements and the transfer from cylinders to concentrators as indicated. Between January and June 1983, 111 patients who were receiving oxygen at home were reviewed: 84 (76%) of these patients had chronic obstructive pulmonary disease; their two-year survival was 80% (95% confidence interval, 69%-87%) and five-year survival was 36% (95% confidence interval, 25%-46%). In 66 (59%) patients, review led to a reduction in the usage of domiciliary oxygen which was estimated to save $40,000 each year in the Hunter Region. In the year from 1985-1986 the decrease in the usage of oxygen at home represented an actual cost saving of $60,000 for the region ($470 per person) which translated into a saving of $95,000 ($740 per person) when inflation was taken into account. If our experience is projected nation-wide, the potential exists for a considerable cost saving by means of programmes to rationalize the use of domiciliary oxygen.
1982年10月，皇家纽卡斯尔医院计划开设一家诊所，以审查由新南威尔士州猎人地区残疾人援助计划资助的家庭用氧使用情况。患者评估包括对家庭用氧适应症的评估、氧气使用教育、输送安排的效率以及根据指示从气瓶向制氧机的转换。1983年1月至6月期间，对111名在家接受氧气治疗的患者进行了评估：其中84名（76%）患者患有慢性阻塞性肺疾病；他们的两年生存率为80%（95%置信区间，69%-87%），五年生存率为36%（95%置信区间，25%-46%）。在66名（59%）患者中，评估导致家庭用氧使用量减少，据估计，这在猎人地区每年可节省4万美元。在1985年至1986年的一年里，该地区家庭用氧使用量的减少实际节省了6万美元（每人470美元），考虑到通货膨胀后，这相当于节省了9.5万美元（每人740美元）。如果将我们的经验推广到全国，通过合理使用家庭用氧的计划，有可能节省大量成本。
