Environmental and Patient Impact of Applying a Point-of-Care Ultrasound Model in Primary Care: Rural vs. Urban Centres

被引:2
|
作者
Marin-Gomez, Francesc X. [1 ,2 ,3 ]
Mendioroz Pena, Jacobo [1 ,2 ]
Canal Casals, Vicenc [4 ]
Romero Mendez, Marcos [5 ]
Darnes Surroca, Ana [6 ]
Nieto Maclino, Antoni [7 ]
Vidal-Alaball, Josep [1 ,2 ]
机构
[1] Inst Catala Salut, Hlth Promot Rural Areas Res Grp, St Fruitos De Bages 08272, Spain
[2] Fundacio Inst Univ Recerca Atencio Primaria Salut, Unitat Suport Recerca Catalunya Cent, Barcelona 08007, Spain
[3] Inst Catala Salut, Serv Atencio Primaria Osona, Gerencia Terr Barcelona, Barcelona 08500, Spain
[4] Inst Catala Salut, Ctr Atencio Primaria Vic Nord, Gerencia Terr Barcelona, Barcelona 08500, Spain
[5] Inst Catala Salut, Ctr Atencio Primaria St Quirze de Besora, Gerencia Terr Barcelona, Barcelona 08580, Spain
[6] Inst Catala Salut, Ctr Atencio Primaria Manlleu, Gerencia Terr Barcelona, Barcelona 08560, Spain
[7] Inst Catala Salut, Ctr Atencio Primaria Sta Eugenia Berga, Gerencia Terr Barcelona, Barcelona 08507, Spain
关键词
point-of-care systems; ultrasonography; traffic-related pollution; primary care; EXTENDED FOLLOW-UP; AIR-POLLUTION; FAMILY PHYSICIANS; CLIMATE-CHANGE; MORTALITY; HEALTH;
D O I
10.3390/ijerph17093333
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Motor vehicles are a major contributor to air pollution, and the exposure to this human-caused air pollution can lead to harmful health effects. This study evaluates the impact of the provision of point-of-care ultrasounds (POCUS) by primary care (PC) to avoid the patient's need to travel to a specialized service. The study estimates the costs and air pollution avoided during 2019. The results confirm that performing this ultrasound at the point of care reduces the emission of 61.4 gr of carbon monoxide, 14.8 gr of nitric oxide and 2.7 gr of sulfur dioxide on each trip. During the study, an average of 17.8 km, 21.4 min per trip and almost 2000 L of fuel consumed in a year were avoided. Performing POCUS from PC reduces fuel consumption and the emission of air pollutants and also saves time and money. Furthermore, only 0.3% of the scans had to be repeated by radiologists. However, more studies with more participants need to be done to calculate the exact impact that these pollution reductions will have on human health.
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页数:11
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