Faculty of Medicine, Hebrew University of Jerusalem, Israel.
Department of Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.
Disaster Med Public Health Prep. 2022 Oct;16(5):2091-2096. doi: 10.1017/dmp.2021.50. Epub 2021 Feb 16.
One strategy for the containment of a pandemic is mass testing. Magen David Adom (MDA), the Israeli National Emergency Medical Services (EMS) Organization undertook this mission by operating a nationwide series of drive-through testing complexes. The objective of this study is to learn lessons from an analysis of these centers. Data from 198 stationary and mobile drive-through complexes from March 20, 2020, through October 17, 2020, were analyzed for temporal and geographic factors, and cost. Also, an operational improvement program was implemented and analyzed. A total of 931,074 patients were sampled in the MDA drive-through system: 46.9% in stationary complexes, and 53.1% in mobile complexes. The optimized cost per patient of home testing was estimated at 74.5 USD compared with 6.55 USD in the drive-through centers. An operational improvement program lowered the total sampling time from 128 s/patient to 98 s and decreased the total cost per patient from 6.55 USD to 6.27 USD. The EMS led drive-through complexes were cost-effective and efficient in performing large numbers of viral tests, especially when compared with home testing. Established concepts in clinical operations should be implemented to increase the number of persons that can be tested and decrease cost.
一种控制大流行的策略是大规模检测。Magen David Adom（MDA），即以色列国家紧急医疗服务（EMS）组织，通过运营全国范围内一系列的驾车通过式检测中心来完成这项任务。本研究的目的是从这些中心的分析中吸取经验教训。从 2020 年 3 月 20 日至 2020 年 10 月 17 日，对来自 198 个固定和移动驾车通过式检测中心的数据进行了时间和地理因素以及成本分析。此外，还实施并分析了一个运营改进计划。MDA 驾车通过式系统共对 931074 名患者进行了采样：46.9%在固定中心，53.1%在移动中心。与驾车通过式中心的 6.55 美元相比，家庭检测的优化后每位患者的成本估计为 74.5 美元。一个运营改进计划将每位患者的总采样时间从 128 秒降低到 98 秒，并将每位患者的总成本从 6.55 美元降低到 6.27 美元。EMS 领导的驾车通过式检测中心在执行大量病毒检测方面具有成本效益和效率，尤其是与家庭检测相比。应实施临床运营中的既定概念，以增加可检测人数并降低成本。
