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The Use of LCA to Introduce Life-Cycle Thinking into Decision-Making for the Purchase of Medical Devices in the NHS

2000; Imperial College Press; Volume: 2; Issue: 4 Linguagem: Inglês

10.1016/s1464-3332(00)00049-7

1757-5605

Erica Ison,

Health Systems, Economic Evaluations, Quality of Life

Journal of Environmental Assessment Policy and ManagementVol. 02, No. 04, pp. 453-476 (2000) No AccessTHE USE OF LCA TO INTRODUCE LIFE-CYCLE THINKING INTO DECISION-MAKING FOR THE PURCHASE OF MEDICAL DEVICES IN THE NHSERICA ISON and ANNE MILLERERICA ISONCentre for Greening the NHS, The Institute of Health Sciences, Oxford, UK Search for more papers by this author and ANNE MILLERSchool of Biological and Molecular Sciences, Oxford Brookes University, Oxford, UK Search for more papers by this author https://doi.org/10.1142/S1464333200000497Cited by:28 PreviousNext AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsRecommend to Library ShareShare onFacebookTwitterLinked InRedditEmail AbstractIn the NHS, criteria for the selection and purchase of medical devices tend to be restricted to concerns about any risks to patients and/or staff during clinical practice, and the purchase price. In addition, the basis for taking many of these decisions about purchase may be only that of personal opinion, anecdote or limited information. We report on the application of life-cycle assessment (LCA) to a particular medical device — the suction receptacle — as a case-study to determine the potential of LCA to improve the range and quality of information available for decision-making, and act as a framework for a more holistic approach. Using LCA, substantial environmental and economic burdens were found to be associated with the different product systems in use (durable versus disposable devices). We discuss the ways in which various stakeholders in the healthcare sector could use this information, at both a strategic and operational level. We also outline possible future developments of LCA that would support healthcare managers in the drive towards evidence-based decision-making.Keywords:life-cycle assessmentLCA/LCImedical devicesdecision-makinghealthcare sectordurable/reusable medical devicessingle-use disposable medical devicessuction receptacleclinical wastewaste disposal FiguresReferencesRelatedDetailsCited By 28Environmental impact of single-use, reusable, and mixed trocar systems used for laparoscopic cholecystectomiesLinn Boberg, Jagdeep Singh, Agneta Montgomery, Peter Bentzer and Huan Li15 July 2022 | PLOS ONE, Vol. 17, No. 7Regulating Environmental Impact of Medical Devices in the United Kingdom—A Scoping ReviewPranay Arun Kumar8 November 2021 | Prosthesis, Vol. 3, No. 4Moving towards green anaesthesia: Are patient safety and environmentally friendly practices compatible? 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Bakshi9 March 2009 | Industrial & Engineering Chemistry Research, Vol. 48, No. 17The use of the LCA polygon framework in waste managementDimitrios A. Georgakellos1 Jul 2006 | Management of Environmental Quality: An International Journal, Vol. 17, No. 4 Recommended Vol. 02, No. 04 Metrics History Keywordslife-cycle assessmentLCA/LCImedical devicesdecision-makinghealthcare sectordurable/reusable medical devicessingle-use disposable medical devicessuction receptacleclinical wastewaste disposalPDF download