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医疗器械行业的转型:迈向循环经济之路。

Transforming The Medical Device Industry: Road Map To A Circular Economy.

机构信息

Andrea J. MacNeill (

Harriet Hopf is a professor of anesthesiology in the Department of Anesthesiology at the University of Utah, in Salt Lake City, Utah.

出版信息

Health Aff (Millwood). 2020 Dec;39(12):2088-2097. doi: 10.1377/hlthaff.2020.01118.

Abstract

A circular economy involves maintaining manufactured products in circulation, distributing resource and environmental costs over time and with repeated use. In a linear supply chain, manufactured products are used once and discarded. In high-income nations, health care systems increasingly rely on linear supply chains composed of single-use disposable medical devices. This has resulted in increased health care expenditures and health care-generated waste and pollution, with associated public health damage. It has also caused the supply chain to be vulnerable to disruption and demand fluctuations. Transformation of the medical device industry to a more circular economy would advance the goal of providing increasingly complex care in a low-emissions future. Barriers to circularity include perceptions regarding infection prevention, behaviors of device consumers and manufacturers, and regulatory structures that encourage the proliferation of disposable medical devices. Complementary policy- and market-driven solutions are needed to encourage systemic transformation.

摘要

循环经济涉及将制成品保持在流通中,随着时间的推移和重复使用,分配资源和环境成本。在线性供应链中,制成品仅使用一次,然后被丢弃。在高收入国家,医疗保健系统越来越依赖由一次性使用的医疗器械组成的线性供应链。这导致医疗保健支出增加,医疗保健产生的废物和污染增加,以及相关的公共卫生损害。它还导致供应链容易受到干扰和需求波动的影响。将医疗器械行业转变为更循环的经济模式将有助于实现为未来提供日益复杂的护理的目标,同时排放更低。阻碍循环的因素包括对感染预防的看法、设备消费者和制造商的行为以及鼓励一次性医疗器械扩散的监管结构。需要政策和市场驱动的补充解决方案来鼓励系统转型。

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