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Master Thesis

Développement durable en santé - État des lieux et pistes d'amélioration appliquées aux dispositifs médicaux

Abstract : Sustainable development has become a major issue for our society in recent years. Human activity not only has harmful effects on the environment and biodiversity, but also on public health, whether through the promotion of infectious causes or emissions of air pollutants. The French health care system paradoxically plays a role in this crisis, due to the significant energy consumption of healthcare establishments, the thousands of tonnes of waste generated by healthcare activity each year, and overall operation complicating any ecological approach. Medical devices (MD) are not left out, producing a large amount of total waste, and involving sterilization of instrumentation by an energy-intensive process. Faced with this inconsistency, we explored two areas for potential improvement : - optimization of MDs necessary for one surgical intervention, highlighting unused products, - comparison of disposable and reusable MDs in view of the available literature. While the choice “disposable or reusable” turns out to be more complex than expected, with a large number of parameters requiring a decision on a case-by-case basis, optimization of MDs in the operating room seems to be a promising avenue in the ecological approach, despite difficulties with highlighting the economic valuation. Other avenues remain to be explored, such as waste recovery or single-use reprocessing.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02988294
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Submitted on : Wednesday, November 4, 2020 - 4:28:53 PM
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Sophie Nicolay. Développement durable en santé - État des lieux et pistes d'amélioration appliquées aux dispositifs médicaux. Sciences pharmaceutiques. 2020. ⟨dumas-02988294⟩

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