McGowan J E
Am J Infect Control. 1982 Aug;10(3):100-8. doi: 10.1016/0196-6553(82)90020-7.
New patterns of health care financing have made it essential for infection control practitioners to become familiar with information on cost of nosocomial infection and cost effectiveness ("benefit") of the procedures and devices used to control hospital infection. Even the lowest estimates of cost show the considerable economic impact of nosocomial infection. Studies to date separate control procedures and practices into categories of proven efficacy, likely efficacy, lack of efficacy, and those for which cost of implementation is likely to outweight any benefit that might result. Many procedures and practices have not yet been studied. To survive in a hospital world of limited finances, ICPs will have to make sure that they employ only procedures for which benefit outweighs cost of implementation.
新的医疗保健融资模式使得感染控制从业者必须熟悉有关医院感染成本以及用于控制医院感染的程序和设备的成本效益(“效益”)的信息。即使是最低的成本估计也显示出医院感染具有相当大的经济影响。迄今为止的研究将控制程序和做法分为已证实有效的、可能有效的、无效的以及实施成本可能超过任何可能产生的效益的几类。许多程序和做法尚未得到研究。为了在资金有限的医院环境中生存,感染控制从业者必须确保他们只采用效益超过实施成本的程序。