健康資本對低所得國家經濟成長非線性影響之研究

The Nonlinear Influence of Health Capital to the Economic Growth in Low-Income Countries: A Panel Data Study

本研究採調查型研究設計，為國內首次對於手術廠借器械之管理與處理進行調查，目的在瞭解醫院手術廠借器械管理與處理作業流程現況，以及手術廠借器械清洗去污過程之確效。分2階段進行，第一階段自2010年9月20日至11月20日，採自擬半結構式問卷進行資料收集，共發出問卷60份，回收問卷30份，回收率50%，有效問卷共計28份；第二階段自2011年3月1日至2011年12月31日，為期9個月期間，於國內某醫學中心以特別設計採樣器械的ATP製品為工具，收集101組廠借器械清潔前、後RLUs之數據，共取樣808支ATP。研究結果顯示台灣醫院對於手術廠借器械之取得、使用前與使用後的清洗去污滅菌處理、以及歸還等作業，缺乏正確認知與重視，可能增加工作人員與手術病人感染之風險。而手術廠借器械與器械盒經過標準清洗去污過程後，確實能夠顯著減少附著於器械與器械盒的微生物與感染物質。研究結果有助於醫院相關工作人員瞭解手術廠借器械管理與處理正確之認知，藉以改善手術廠借器械之處理，保障手術病人安全。

The purpose of this study was to investigate the management of the loaner instruments and validation of decontamination of loaner instruments in Taiwan. A self-administered questionnaire was used to investigate the management decisions related to loaner instruments of operating room and central supply room managers in Taiwan. The test method involved using a bioluminescent reporter, luciferase, which is measured in relative light units (RLUs), for the validation process. The results of the study indicated that most of the hospitals lacked recognition of the management and reprocessing of loaner instruments and trays. RLUs were significantly lower after the machine decontamination process than before the machine decontamination process. The results of this study could be applied to improve the management and reprocessing process of loaner instruments, as well as provide a reference for administrators to develop policies and procedures for ensuring patient safety.