Postpandemic Evaluation of the Eco-Efficiency of Personal Protective Equipment Against COVID-19 in Emergency Departments: Proposal for a Mixed Methods Study

被引：1

作者：

Berthelot, Simon ^{[1
,2
]}

Longtin, Yves ^{[3
]}

Margni, Manuele ^{[4
]}

Guertin, Jason Robert ^{[1
,5
]}

Leblanc, Annie ^{[2
]}

Marx, Tania ^{[6
]}

Mangou, Khadidiatou ^{[1
]}

Bluteau, Ariane ^{[1
]}

Mantovani, Diego ^{[7
]}

Mikhaylin, Sergey ^{[8
]}

Bergeron, Frederic ^{[9
]}

Dancause, Valerie ^{[1
]}

Desjardins, Anne ^{[1
]}

Lahrichi, Nadia ^{[4
]}

Martin, Danielle ^{[1
,11
]}

Sossa, Charles Jerome ^{[1
,12
]}

Lachapelle, Philippe ^{[1
,10
]}

Schaal, Stephane ^{[1
,5
]}

Genest, Isabelle ^{[1
,10
]}

Gignac, Anne ^{[1
,10
]}

Tremblay, Stephane ^{[1
,5
,10
]}

Hufty, Eric ^{[1
,10
]}

Belanger, Lynda ^{[1
,10
]}

Beatty, Erica ^{[1
,3
,13
]}

机构：

[1] Univ Laval, CHU Quebec, Ctr Rech, Axe Sante Populat & Prat Optimales Sante, Bureau A0550,2705 Boul Laurie, Quebec City, PQ, Canada

[2] Univ Laval, Fac Med, Dept Med Famille & Med Urgence, Quebec City, PQ, Canada

[3] Jewish Gen Hosp, Montreal, PQ, Canada

[4] Univ Montreal, Ecole Polytech, Montreal, PQ, Canada

[5] Univ Laval, Fac Med, Dept Med Sociale & Prevent, Quebec City, PQ, Canada

[6] Ctr Hosp Univ Besancon, Serv Urgences, Besancon, France

[7] Univ Laval, Ctr Rech, Axe Med Regeneratrice, CHU Quebec, Quebec City, PQ, Canada

[8] Univ Laval, Inst Nutr & Aliments Fonct, Dept Sci Aliments, EcoFoodLab, Quebec City, PQ, Canada

[9] Univ Laval, Bibliotheque, Quebec City, PQ, Canada

[10] Univ Laval, CHU Quebec, Quebec City, PQ, Canada

[11] Toronto Metropolitan Univ, Fash Design & Creat Direct, Toronto, ON, Canada

[12] Univ Abomey Calavi, Inst Reg Sante Publ, Ouidah, Benin

[13] Hop Montfort, Dept Med Urgence, Ottawa, ON, Canada

来源：

JMIR RESEARCH PROTOCOLS | 2023年 / 12卷

基金：

加拿大健康研究院;

关键词：

COVID-19; SARS-CoV-2; personal protective equipment; emergency department; health care workers; systematic review; cost-consequence analysis; time-driven activity-based costing; life cycle assessment; ecological footprint; FOCUS GROUP; HEALTH; CARE; COSTS;

D O I：

10.2196/50682

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The COVID-19 pandemic has had a profound impact on emergency department (ED) care in Canada and around the world. To prevent transmission of COVID-19, personal protective equipment (PPE) was required for all ED care providers in contact with suspected cases. With mass vaccination and improvements in several infection prevention components, our hypothesis is that the risks of transmission of COVID-19 will be significantly reduced and that current PPE use will have economic and ecological consequences that exceed its anticipated benefits. Evidence is needed to evaluate PPE use so that recommendations can ensure the clinical, economic, and environmental efficiency (ie, eco-efficiency) of its use. Objective: To support the development of recommendations for the eco-efficient use of PPE, our research objectives are to (1) estimate the clinical effectiveness (reduced transmission, hospitalizations, mortality, and work absenteeism) of PPE against COVID-19 for health care workers; (2) estimate the financial cost of using PPE in the ED for the management of suspected or confirmed COVID-19 patients; and (3) estimate the ecological footprint of PPE use against COVID-19 in the ED. Methods: We will conduct a mixed method study to evaluate the eco-efficiency of PPE use in the 5 EDs of the CHU de Quebec-Universite Laval (Quebec, Canada). To achieve our goals, the project will include four phases: systematic review of the literature to assess the clinical effectiveness of PPE (objective 1; phase 1); cost estimation of PPE use in the ED using a time-driven activity-based costing method (objective 2; phase 2); ecological footprint estimation of PPE use using a life cycle assessment approach (objective 3; phase 3); and cost-consequence analysis and focus groups (integration of objectives 1 to 3; phase 4). Results: The first 3 phases have started. The results of these phases will be available in 2023. Phase 4 will begin in 2023 and results will be available in 2024. Conclusions: While the benefits of PPE use are likely to diminish as health care workers' immunity increases, it is important to assess its economic and ecological impacts to develop recommendations to guide its eco-efficient use. Trial Registration: PROSPERO CRD42022302598; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=302598 International Registered Report Identifier (IRRID): DERR1-10.2196/50682

引用

页数：14

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