改善医疗保健政策和可持续性的医疗设备生命周期框架

Challenges Pub Date : 2023-04-19 DOI:10.3390/challe14020021
Bruce Mang, YeonJae Oh, Chabelly Bonilla, Jennifer Orth
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引用次数: 0

摘要

与其他行业相比,医疗保健行业正在努力变得更加环保,这一点从其对全球排放的贡献可见一斑。这些斗争引发了一些关于医疗设备生命周期的可持续方法的研究。事实上,世界卫生组织(卫生组织)鼓励重新使用设备和合乎道德的捐赠,即为了环境和可持续的全球健康。然而,缺乏综合——当前医疗保健系统的多种绿色替代方案正在发展,彼此之间没有联系,阻碍了可持续性的提高。因此,医疗设备生命周期缺乏全球组织和标准化。受到国际扶轮保健专业人员联会安全与可持续医疗设备供应小组(SASMES)的研究结果和指导方针的启发,我们创建了再加工医疗设备:扶轮社员环境研究小组(Re-MERGE),以扩大这些挑战。Re-MERGE遵循美国医疗器械的生命周期,包括分类和各种监管途径的初始阶段,上市后要求的中期阶段,以及处置或捐赠和再处理的结束阶段。我们的研究结果表明,目前的医疗器械终端阶段效率低下,对环境造成破坏,对捐赠接受者造成负担;然而,现有流程可以通过大幅减少对环境的破坏、改善全球医疗保健和提高该领域的可持续性来改进医疗设备的最终阶段方法。我们确定需要更多的研究来连接不同医疗器械终端阶段的影响。此外,我们鼓励将研究结果付诸实施,以创造更可持续、更有效的医疗器械处置、捐赠和再处理方法。
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A Medical Equipment Lifecycle Framework to Improve Healthcare Policy and Sustainability
The healthcare sector is struggling to become more environmentally friendly compared to other industries, evidently seen by the contribution to global emissions. These struggles have elicited some research on sustainable methods regarding the lifecycle of medical devices. Indeed, the World Health Organization (WHO) encourages the reuse of equipment and ethical donations, namely for the sake of the environment and sustainable global health. However, there is a lack of synthesis–multiple greener alternatives to the current healthcare system are developing without a connection to each other, hindering an increase in sustainability. Thus, there is a lack of global organization and standardization in medical equipment lifecycles. Inspired by the findings and guidelines of the Safe and Sustainable Medical Equipment Supply Subgroup (SASMES) of the International Rotary Fellowship of Healthcare Professionals, we created the Re-processing Medical Equipment: Rotarian Research Group for the Environment (Re-MERGE) to expand on these challenges. Re-MERGE follows the life cycle of medical devices in the United States of America through its initial stages of classification and various regulatory pathways, the middle stage of post-market requirements, and the end stage of disposal or donation and reprocessing. Our findings indicate that current medical device end-stages are inefficient, damaging to the environment, and burdensome to donation recipients; however, existing processes can provide improvements to medical device end-stage methods by drastically reducing environmental damage, improving healthcare globally, and increasing sustainability in the field. We identify that more research is needed to connect the implications of different medical device end stages. Additionally, we encourage the findings to be implemented to create more sustainable, effective methods of medical device disposal, donation, and reprocessing.
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