Shanghai Engineering Research Center of Assistive Devices/School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Jungong Road 516, Shanghai, 200093, China.
School of Economics & Management, Tongji University, Siping Road 1500, Shanghai, 200092, China.
BMC Public Health. 2019 Apr 30;19(1):461. doi: 10.1186/s12889-019-6835-9.
In China, reprocessing and reuse of single-use medical devices (SUDs) are banned. However, the actual situation has not been reported so far. The study aims to clarify the perceptions and concerns of various sectors of the community on the reuse of SUDs, and whether such practice exists. In addition, we are also wondering how acceptable the respondents are on this matter.
A cross-sectional study based on a national survey which was conducted on the professional online questionnaire survey platform ( www.wjx.cn ) from July 26 to August 4, 2015. We analyzed the data according to the work fields, sex, age, education level, professional background and participants' answers to 49 other questions.
Five hundred forty-four nationwide respondents belong to nine different work fields. In general, participants had positive attitudes towards the reprocessing and reuse of SUDs. However, many respondents doubted the hygienic and functional safety of the reprocessed SUDs. They also tended to think that the reuse of SUDs should have lower prices and more technical training as well as patient advocacy. Further analysis demonstrated the work fields, education level and professional background of respondents were statistically associated with their responses to certain questions.
The research indicated that although the reuse of SUDs is prohibited legally in China, there were extensive reprocessing and reuse in hospitals. Most responses tended to accept reprocessed SUDs if safety and low prices were guaranteed. These existing contradictions and the lack of relevant research led to policy makers in China will confront numerous challenges in building and improving this use system of medical devices to meet escalating demands of social sectors.
在中国,禁止对一次性医疗器械(SUDs)进行再处理和再利用。然而,目前尚未有相关实际情况的报道。本研究旨在阐明社会各界对 SUDs 再利用的看法和顾虑,以及是否存在这种做法。此外,我们还想了解受访者对此事的接受程度。
本研究采用基于全国范围的横断面研究,于 2015 年 7 月 26 日至 8 月 4 日通过专业在线问卷调研平台(www.wjx.cn)进行。我们根据工作领域、性别、年龄、教育程度、专业背景以及受访者对其他 49 个问题的回答,对数据进行了分析。
共有 544 名来自全国不同工作领域的受访者参与了本研究。总体而言,参与者对 SUDs 的再处理和再利用持积极态度。然而,许多受访者对再处理后的 SUDs 的卫生和功能安全性表示怀疑。他们还认为,SUDs 的再利用应该具有更低的价格、更多的技术培训以及更多的患者倡导。进一步分析表明,受访者的工作领域、教育程度和专业背景与他们对某些问题的回答存在统计学关联。
研究表明,尽管中国法律禁止 SUDs 的再利用,但医院内存在广泛的再处理和再利用现象。如果安全性和低价格得到保证,大多数受访者倾向于接受再处理后的 SUDs。这些现有矛盾和缺乏相关研究使得中国的政策制定者在构建和完善医疗器械使用体系以满足社会各部门不断增长的需求方面面临诸多挑战。