Mubarak Fathima S
Cardiothoracic Surgery, Harefield Hospital, Harefield, GBR.
Cureus. 2023 Apr 26;15(4):e38156. doi: 10.7759/cureus.38156. eCollection 2023 Apr.
The surgical industry makes a major contribution to sustainable healthcare. This article aims to critically evaluate sustainable healthcare to provide quality surgical care in the United Kingdom. For this study, a systematic review was conducted using peer-reviewed studies and articles from the United Kingdom related to surgical and anesthetic fields that were published within the last five years. The journal articles were selected based on their relevance to the sustainability and performance of the healthcare system, including risks, and subsequently screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 model screening approach. The findings of the relevant journal articles were then critically evaluated for each theme. A total of 79 studies were retrieved, and 15 of the retrieved studies met the inclusion criteria. Of those, 10 articles evaluated existing sustainability practices, only seven articles discussed significant determinants of quality healthcare, and only 86.67% of the articles highlighted the implications of sustainability. The key predictors of high-quality medical care are effective resource management, the acquisition of a moral surgical team, the provision of professional services, integration, short hospital stays, and low mortality and morbidity rates. Conserving water, optimizing treatment routes and transportation, and creating cultural change were found to be the pillars of high-quality, sustainable healthcare. The concept of sustainability varied between these studies, and limitations on sustainability as a result of reduced mortality, morbidity, and business services were observed. Anesthetic gas emissions from operating rooms continue to have the most detrimental effect on the sustainability of the surgical industry. A significant gap was noted between the available data and their implications.
外科行业对可持续医疗保健做出了重大贡献。本文旨在对可持续医疗保健进行批判性评估,以便在英国提供高质量的外科护理。在本研究中,我们使用了同行评审的研究以及过去五年内在英国发表的与外科和麻醉领域相关的文章进行了系统综述。这些期刊文章是根据它们与医疗保健系统的可持续性和绩效(包括风险)的相关性来选择的,随后使用《系统综述和Meta分析的首选报告项目2020》模型筛选方法进行筛选。然后针对每个主题对相关期刊文章的研究结果进行批判性评估。总共检索到79项研究,其中15项符合纳入标准。在这些研究中,10篇文章评估了现有的可持续性实践,只有7篇文章讨论了高质量医疗保健的重要决定因素,只有86.67%的文章强调了可持续性的影响。高质量医疗护理的关键预测因素包括有效的资源管理、组建有道德的外科团队、提供专业服务、整合、缩短住院时间以及降低死亡率和发病率。节约用水、优化治疗途径和运输以及推动文化变革被认为是高质量、可持续医疗保健的支柱。这些研究中可持续性的概念各不相同,并且观察到由于死亡率、发病率和商业服务的降低而导致的可持续性限制。手术室的麻醉气体排放继续对外科行业的可持续性产生最不利的影响。可用数据与其影响之间存在显著差距。