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1.
Environ Int ; 130: 104881, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31200152

RESUMEN

Many studies have reported associations between air pollution and health impacts, but few studies have explicitly differentiated the economic effects of PM2.5 and ozone at China's regional level. This study compares the PM2.5 and ozone pollution-related health impacts based on an integrated approach. The research framework combines an air pollutant emission projection model (GAINS), an air quality model (GEOS-Chem), a health model using the latest exposure-response functions, medical prices and value of statistical life (VSL), and a general equilibrium model (CGE). Results show that eastern provinces in China encounter severer loss from PM2.5 and more benefit from mitigation policy, whereas the lower income western provinces encounter severer health impacts and economic burdens due to ozone pollution, and the impact in southern and central provinces is relatively lower. In 2030, without control policies, PM 2.5 pollution could lead to losses of 2.0% in Gross Domestic Production (GDP), 210 billion Chinese Yuan (CNY) in health expenditure and a life loss of around 10,000 billion, while ozone pollution could contribute to GDP loss by 0.09% (equivalent to 78 billion CNY), 310 billion CNY in health expenditure, and a life loss of 2300 billion CNY (equivalent to 2.7% of GDP). By contrast, with control policies, the GDP and VSLs loss in 2030 attributable to ambient air pollution could be reduced significantly. We also find that the health and economic impacts of ozone pollution are significantly lower than PM2.5, but are much more difficult to mitigate. The Chinese government should promote air pollution control policies that could jointly reduce PM2.5 and ozone pollution.


Asunto(s)
Contaminación del Aire , Modelos Teóricos , Ozono , Material Particulado , Contaminantes Atmosféricos/efectos adversos , Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/economía , Contaminación del Aire/efectos adversos , Contaminación del Aire/análisis , Contaminación del Aire/economía , China , Exposición a Riesgos Ambientales/efectos adversos , Exposición a Riesgos Ambientales/análisis , Exposición a Riesgos Ambientales/economía , Humanos , Ozono/efectos adversos , Ozono/análisis , Ozono/economía , Material Particulado/efectos adversos , Material Particulado/análisis , Material Particulado/economía
4.
Artículo en Inglés | MEDLINE | ID: mdl-30049975

RESUMEN

In October 2015, the United States Environmental Protection Agency (EPA) lowered the level of the ozone National Ambient Air Quality Standard (NAAQS) from 0.075 ppm to 0.070 ppm (annual 4th highest daily maximum 8-h concentration, averaged over three years). The EPA estimated a 2025 annual national non-California net benefit of $1.5 to $4.5 billion (2011$, 7% discount rate) for a 0.070 ppm standard, and a -$1.0 to $14 billion net benefit for an alternative 0.065 ppm standard. The purpose of this work is to present a combined toxicological and economic assessment of the EPA's benefit-cost analysis of the 2015 ozone NAAQS. Assessing the quality of the epidemiology studies based on considerations of bias, confounding, chance, integration of evidence, and application of the studies for future population risk estimates, we derived several alternative benefits estimates. We also considered the strengths and weaknesses of the EPA's cost estimates (e.g., marginal abatement costs), as well as estimates completed by other authors, and provided our own alternative cost estimate. Based on our alternative benefits and cost calculations, we estimated an alternative net benefit of between -$0.3 and $1.8 billion for a 0.070 ppm standard (2011 $, 7% discount rate) and between -$23 and -$17 billion for a 0.065 ppm standard. This work demonstrates that alternative reasonable assumptions can generate very difference cost and benefits estimates that may impact how policy makers view the outcomes of a major rule.


Asunto(s)
Contaminantes Atmosféricos/normas , Contaminantes Atmosféricos/toxicidad , Ozono/normas , Ozono/toxicidad , United States Environmental Protection Agency , Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/economía , Contaminación del Aire/análisis , Análisis Costo-Beneficio , Estudios Epidemiológicos , Humanos , Ozono/análisis , Ozono/economía , Estados Unidos
5.
Artículo en Inglés | MEDLINE | ID: mdl-29649153

RESUMEN

Air pollution has been estimated to be one of the leading environmental health risks in Finland. National health impact estimates existing to date have focused on particles (PM) and ozone (O3). In this work, we quantify the impacts of particles, ozone, and nitrogen dioxide (NO2) in 2015, and analyze the related uncertainties. The exposures were estimated with a high spatial resolution chemical transport model, and adjusted to observed concentrations. We calculated the health impacts according to Word Health Organization (WHO) working group recommendations. According to our results, ambient air pollution caused a burden of 34,800 disability-adjusted life years (DALY). Fine particles were the main contributor (74%) to the disease burden, which is in line with the earlier studies. The attributable burden was dominated by mortality (32,900 years of life lost (YLL); 95%). Impacts differed between population age groups. The burden was clearly higher in the adult population over 30 years (98%), due to the dominant role of mortality impacts. Uncertainties due to the concentration-response functions were larger than those related to exposures.


Asunto(s)
Contaminantes Atmosféricos/economía , Contaminación del Aire/economía , Dióxido de Nitrógeno/economía , Ozono/economía , Material Particulado/economía , Adulto , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Exposición a Riesgos Ambientales/análisis , Exposición a Riesgos Ambientales/economía , Finlandia/epidemiología , Humanos , Modelos Químicos , Dióxido de Nitrógeno/análisis , Ozono/análisis , Material Particulado/análisis , Años de Vida Ajustados por Calidad de Vida , Riesgo , Análisis Espacial
6.
Nature ; 545(7655): 467-471, 2017 05 25.
Artículo en Inglés | MEDLINE | ID: mdl-28505629

RESUMEN

Vehicle emissions contribute to fine particulate matter (PM2.5) and tropospheric ozone air pollution, affecting human health, crop yields and climate worldwide. On-road diesel vehicles produce approximately 20 per cent of global anthropogenic emissions of nitrogen oxides (NOx), which are key PM2.5 and ozone precursors. Regulated NOx emission limits in leading markets have been progressively tightened, but current diesel vehicles emit far more NOx under real-world operating conditions than during laboratory certification testing. Here we show that across 11 markets, representing approximately 80 per cent of global diesel vehicle sales, nearly one-third of on-road heavy-duty diesel vehicle emissions and over half of on-road light-duty diesel vehicle emissions are in excess of certification limits. These excess emissions (totalling 4.6 million tons) are associated with about 38,000 PM2.5- and ozone-related premature deaths globally in 2015, including about 10 per cent of all ozone-related premature deaths in the 28 European Union member states. Heavy-duty vehicles are the dominant contributor to excess diesel NOx emissions and associated health impacts in almost all regions. Adopting and enforcing next-generation standards (more stringent than Euro 6/VI) could nearly eliminate real-world diesel-related NOx emissions in these markets, avoiding approximately 174,000 global PM2.5- and ozone-related premature deaths in 2040. Most of these benefits can be achieved by implementing Euro VI standards where they have not yet been adopted for heavy-duty vehicles.


Asunto(s)
Unión Europea/economía , Gasolina/análisis , Gasolina/economía , Óxido Nítrico/análisis , Óxido Nítrico/envenenamiento , Emisiones de Vehículos/prevención & control , Emisiones de Vehículos/envenenamiento , Europa (Continente)/epidemiología , Unión Europea/estadística & datos numéricos , Gasolina/efectos adversos , Humanos , Mortalidad Prematura , Ozono/análisis , Ozono/economía , Ozono/envenenamiento , Material Particulado/análisis , Material Particulado/economía , Material Particulado/envenenamiento , Emisiones de Vehículos/análisis
7.
J Allergy Clin Immunol ; 134(5): 1028-35, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25439228

RESUMEN

BACKGROUND: Emerging evidence suggests that near-roadway air pollution (NRP) exposure causes childhood asthma. The associated costs are not well documented. OBJECTIVE: We estimated the cost of childhood asthma attributable to residential NRP exposure and regional ozone (O3) and nitrogen dioxide (NO2) levels in Los Angeles County. We developed a novel approach to apportion the costs between these exposures under different pollution scenarios. METHODS: We integrated results from a study of willingness to pay to reduce the burden of asthma with results from studies of health care use and charges to estimate the costs of an asthma case and exacerbation. We applied those costs to the number of asthma cases and exacerbations caused by regional pollution in 2007 and to hypothetical scenarios of a 20% reduction in regional pollution in combination with a 20% reduction or increase in the proportion of the total population living within 75 m of a major roadway. RESULTS: Cost of air pollution-related asthma in Los Angeles County in 2007 was $441 million for O3 and $202 million for NO2 in 2010 dollars. Cost of routine care (care in absence of exacerbation) accounted for 18% of the combined NRP and O3 cost and 39% of the combined NRP and NO2 cost; these costs were not recognized in previous analyses. NRP-attributable asthma accounted for 43% (O3) to 51% (NO2) of the total annual cost of exacerbations and routine care associated with pollution. Hypothetical scenarios showed that costs from increased NRP exposure might offset savings from reduced regional pollution. CONCLUSIONS: Our model disaggregates the costs of regional pollution and NRP exposure and illustrates how they might vary under alternative exposure scenarios. The cost of air pollution is a substantial burden on families and an economic loss for society.


Asunto(s)
Asma/economía , Dióxido de Nitrógeno/economía , Oxidantes Fotoquímicos/economía , Ozono/economía , Emisiones de Vehículos/toxicidad , Adolescente , Contaminantes Atmosféricos/efectos adversos , Asma/inducido químicamente , Asma/epidemiología , California/epidemiología , Niño , Preescolar , Costos y Análisis de Costo , Femenino , Humanos , Masculino , Dióxido de Nitrógeno/efectos adversos , Oxidantes Fotoquímicos/efectos adversos , Ozono/efectos adversos
8.
Ecol Lett ; 14(8): 804-15, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21624028

RESUMEN

Human alteration of the nitrogen (N) cycle has produced benefits for health and well-being, but excess N has altered many ecosystems and degraded air and water quality. US regulations mandate protection of the environment in terms that directly connect to ecosystem services. Here, we review the science quantifying effects of N on key ecosystem services, and compare the costs of N-related impacts or mitigation using the metric of cost per unit of N. Damage costs to the provision of clean air, reflected by impaired human respiratory health, are well characterized and fairly high (e.g. costs of ozone and particulate damages of $28 per kg NO(x)-N). Damage to services associated with productivity, biodiversity, recreation and clean water are less certain and although generally lower, these costs are quite variable (<$2.2-56 per kg N). In the current Chesapeake Bay restoration effort, for example, the collection of available damage costs clearly exceeds the projected abatement costs to reduce N loads to the Bay ($8-15 per kg N). Explicit consideration and accounting of effects on multiple ecosystem services provides decision-makers an integrated view of N sources, damages and abatement costs to address the significant challenges associated with reducing N pollution.


Asunto(s)
Toma de Decisiones , Ecosistema , Ciclo del Nitrógeno , Agricultura/economía , Contaminación del Aire/economía , Biodiversidad , Monitoreo del Ambiente/economía , Humanos , Ozono/economía , Material Particulado/economía , Estados Unidos , Contaminación del Agua/economía
9.
Environ Pollut ; 158(5): 1948-54, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-19914750

RESUMEN

Numerous experiments have demonstrated reductions in the yields of cereal crops due to tropospheric O(3), with losses of up to 25%. However, the only British econometric study on O(3) impacts on winter wheat yields, found that a 10% increase in AOT40 would decrease yields by only 0.23%. An attempt is made here to reconcile these observations by developing AOT40 maps for Great Britain and matching levels with a large number of standardised trial plot wheat yields from many sites over a 13-year period. Panel estimates (repeated measures on the same plots with time) show a 0.54% decrease in yields and it is hypothesised that plant breeders may have inadvertently selected for O(3) tolerance in wheat. Some support for this is provided by fumigations of cultivars of differing introduction dates. A case is made for the use of econometric as well as experimental studies in prediction of air pollution induced crop loss.


Asunto(s)
Contaminantes Atmosféricos/farmacología , Contaminación del Aire/economía , Ozono/farmacología , Triticum/efectos de los fármacos , Triticum/crecimiento & desarrollo , Contaminantes Atmosféricos/economía , Biomasa , Ozono/economía , Triticum/economía , Reino Unido
10.
Water Sci Technol ; 60(4): 1097-101, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19700850

RESUMEN

Methods for the removal of radiocobalt from an ethylenediaminetetraacetic acid (EDTA) complex of Co(II) (aqueous solution containing 10 microM Co(II) and 10 microM or 50 microM EDTA traced with (57)Co) are presented. The studies examined a combination of different oxidation methods and the sorption of (57)Co on a selective inorganic ion exchange material, CoTreat. The oxidation methods used were ultraviolet (UV) irradiation with and without hydrogen peroxide (H(2)O(2)), as well as ozonation alone or in combination with UV irradiation. Also, the possible contribution of Degussa P25 TiO(2) photocatalyst to degradation of EDTA was studied. The best results for the equimolar solution of Co(II) and EDTA were achieved by combining ozonation, UV irradiation, Degussa P25 TiO(2) and CoTreat, with approximately 94% sorption of (57)Co. High values for the (57)Co sorption were also achieved by ozonation ( approximately 88%) and UV irradiation (approximately 90%) in the presence of CoTreat and Degussa P25 TiO(2). A surplus of EDTA over Co(II) was also tested using 10 microM Co(II) and 50 microM EDTA. Only a slight decrease, to approximately 88% sorption of (57)Co, was detected compared to the value (approximately 90%) obtained with 10 microM EDTA.


Asunto(s)
Radioisótopos de Cobalto/aislamiento & purificación , Ácido Edético/química , Peróxido de Hidrógeno/química , Concentración de Iones de Hidrógeno/efectos de la radiación , Intercambio Iónico , Oxidación-Reducción/efectos de la radiación , Ozono/economía , Soluciones , Rayos Ultravioleta
11.
Water Sci Technol ; 57(2): 251-5, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18235179

RESUMEN

Activated sludge treatment allows only for a partial removal of micropollutants, mainly via sorption and biological degradation. Ozonation and activated carbon filtration are processes bearing the potential to drastically reduce the micropollutant load discharged to the environment after (centralized) biological treatment. The estimated total costs between 0.05 and 0.20 euro per m3 treated water (depending on plant size and effluent DOC content) represent only a small fraction of the total costs for urban wastewater management and are therefore considered feasible. Full scale testing is currently planned or under way with the aim to a) confirm this cost estimation and b) to demonstrate the benefit by quantification of the effect of removal and by documenting the impact on the ecology of receiving waters. Ozonation would have the additional advantage of achieving partial disinfection. Another issue currently being intensively studied is the byproducts formed during ozonation and their toxicity. Evidence is needed that the formed ozonation byproducts are either harmless or easily degradable. Since a 5% to 20% loss of sewage is occurring due to sewer leakage and combined sewer overflow an improved reduction of micropollutant input to the aquatic environment requires that advanced centralized treatment is complemented with measures taken before discharge into the sewer. Options hereto may be waste design, labeling of compounds according to environmental friendliness or separate treatment of quantitatively significant point sources (e.g. hospital wastewater, nursery homes, industrial wastewater).


Asunto(s)
Compuestos Orgánicos/aislamiento & purificación , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/aislamiento & purificación , Purificación del Agua/métodos , Carbono/química , Carbono/economía , Ozono/química , Ozono/economía , Aguas del Alcantarillado
12.
Water Sci Technol ; 55(12): 181-7, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17674846

RESUMEN

The disposal of sewage sludge and the agricultural use of stabilised sludge are decreasing due to more stringent regulations in Europe. An increasing fraction of sewage sludge must therefore be dewatered, dried, incinerated and the ashes disposed of in landfills. These processes are cost-intensive and also lead to the loss of the valuable phosphate resources incorporated in the sludge ash. The implementation of processes that could reduce excess sludge production and recycle phosphate is therefore recommended. Partial ozonation of the return sludge of an activated sludge system significantly reduces excess sludge production, improves the settling properties of the sludge and reduces bulking and scumming. The solubilised COD will also improve denitrification if the treated sludge is recycled to the anoxic zone. However, ozonation partly kills nitrifiers and could therefore lead to a decrease of the effective solid retention time of the nitrifier, thus reducing the safety of the nitrification. This paper discusses the effect of ozonation on sludge reduction, the operating stability of nitrification, the improvement of denitrification and also presents an energy and cost evaluation.


Asunto(s)
Ozono/química , Aguas del Alcantarillado/química , Minerales/química , Nitrógeno/química , Oxidación-Reducción , Ozono/economía , Soluciones , Factores de Tiempo , Agua
13.
Environ Manage ; 40(4): 545-54, 2007 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17638048

RESUMEN

Air protection agencies in the United States increasingly confront non-attainment of air quality standards for multiple pollutants sharing interrelated emission origins. Traditional approaches to attainment planning face important limitations that are magnified in the multipollutant context. Recognizing those limitations, the Georgia Environmental Protection Division has adopted an integrated framework to address ozone, fine particulate matter, and regional haze in the state. Rather than applying atmospheric modeling merely as a final check of an overall strategy, photochemical sensitivity analysis is conducted upfront to compare the effectiveness of controlling various precursor emission species and source regions. Emerging software enables the modeling of health benefits and associated economic valuations resulting from air pollution control. Photochemical sensitivity and health benefits analyses, applied together with traditional cost and feasibility assessments, provide a more comprehensive characterization of the implications of various control options. The fuller characterization both informs the selection of control options and facilitates the communication of impacts to affected stakeholders and the public. Although the integrated framework represents a clear improvement over previous attainment-planning efforts, key remaining shortcomings are also discussed.


Asunto(s)
Contaminantes Atmosféricos/economía , Contaminación del Aire/prevención & control , Modelos Teóricos , Oxidantes Fotoquímicos/economía , Ozono/economía , Material Particulado/economía , Contaminación del Aire/economía , Análisis Costo-Beneficio , Monitoreo del Ambiente , Georgia
14.
J Air Waste Manag Assoc ; 56(7): 1007-21, 2006 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-16878591

RESUMEN

Californians are exposed daily to concentrations of ozone (O3) that are among the highest in the United States. Recently, the state adopted a new 8-hr ambient standard of 0.070 ppm, more stringent than the current federal standard. The new standard is based on controlled human studies and on dozens of epidemiologic studies reporting associations between O3 at current ambient levels and a wide range of adverse health outcomes. Clearly, the new O3 standards will require further reductions in the precursor pollutants and additional expenditures for pollution control. Therefore, it is important to quantify the incremental health benefits of moving from current conditions to the new California standard. In this paper, a standard methodology is applied to quantify the health benefits associated with O3 concentration reductions in California. O3 concentration reductions are estimated using ambient monitoring data and a proportional rollback approach in which changes are specific to each air basin, and control strategies may impact concentrations both below and above the standard. Health impacts are based on published epidemiologic studies, including O3-related mortality and morbidity, and economic values are assigned to these outcomes based on willingness-to-pay and cost-of-illness studies. Central estimates of this research indicate that attaining the California 8-hr standard, relative to current concentrations, would result in annual reductions of 630 cases of premature mortality, 4200 respiratory hospital admissions, 660 pediatric emergency room visits for asthma, 4.7 million days of school loss, and 3.1 million minor restricted activity days, with a median estimated economic value of dollar 4.5 billion. Sensitivity analyses indicate that these findings are robust with respect to exposure assessment methods but are influenced by assumptions about the slope of the concentration-response function in threshold models and the magnitude of the O3-mortality relationship. Although uncertainties exist for several components of the methodology, these results indicate that the benefits of reducing O3 to the California standard may be substantial and that further research on the shape of the O3-mortality concentration-response function and economic value of O3-related mortality would best reduce these uncertainties.


Asunto(s)
Contaminación del Aire/prevención & control , Oxidantes Fotoquímicos/normas , Oxidantes Fotoquímicos/toxicidad , Ozono/normas , Ozono/toxicidad , Contaminación del Aire/efectos adversos , Contaminación del Aire/legislación & jurisprudencia , California/epidemiología , Servicio de Urgencia en Hospital/estadística & datos numéricos , Exposición a Riesgos Ambientales/efectos adversos , Exposición a Riesgos Ambientales/normas , Salud Ambiental , Estudios Epidemiológicos , Regulación Gubernamental , Humanos , Mortalidad , Oxidantes Fotoquímicos/economía , Ozono/economía , Enfermedades Respiratorias/epidemiología , Enfermedades Respiratorias/etiología
16.
J Environ Manage ; 68(3): 287-96, 2003 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-12837257

RESUMEN

Taiwan's implementation of the 1997 Air Pollution Emissions Fees Program will conceivably lead to long-term reductions in pollution emissions. The purpose of this paper is to estimate the benefits to Taiwan from the expected reduction in crop losses as a direct result of such a decrease in air pollution. We employ a demand-supply framework for rice production to estimate the change in social welfare resulting from changes in the concentration of certain pollutants in the atmosphere. Our empirical results show that, in the year 1997, social welfare increments resulting from the decline in sulfur dioxide concentrations in the atmosphere ranged between US dollars 946200 and US dollars 2435800. Meanwhile, during the same period, the increase in social welfare due to the decline in the ozone concentration in the atmosphere ranged between US dollars 838100 and US dollars 1927000. The average benefit from the reduction in both sulfur dioxide and ozone concentrations is calculated to be between US dollars 2.67 and US dollars 6.86 per acre (for sulfur dioxide), and from US dollars 2.36 to US dollars 5.43 per acre (for ozone).


Asunto(s)
Agricultura/economía , Contaminantes Atmosféricos/economía , Contaminación del Aire/economía , Contaminación del Aire/prevención & control , Honorarios y Precios/legislación & jurisprudencia , Combustibles Fósiles/economía , Oryza/provisión & distribución , Bienestar Social , Contaminantes Atmosféricos/clasificación , Contaminantes Atmosféricos/toxicidad , Costos y Análisis de Costo , Combustibles Fósiles/toxicidad , Modelos Económicos , Oryza/economía , Ozono/economía , Ozono/toxicidad , Evaluación de Programas y Proyectos de Salud , Dióxido de Azufre/economía , Dióxido de Azufre/toxicidad , Taiwán , Impuestos/legislación & jurisprudencia
17.
Rev. cuba. enferm ; 15(2): 104-8, mayo-ago. 1999. tab
Artículo en Español | LILACS, BDENF - Enfermería | ID: lil-271032

RESUMEN

Se realizó un estudio descriptivo y prospectivo de carácter analítico en un universo de 1 960 pacientes con retinosis pigmentaria tratadas con ozono en el Centro Provincial de Retinosis Pigmentaria de Santiago de Cuba, durante el período comprendido desde julio de 1993 hasta igual mes de 1997, con el objetivo de determinar el resultado de los costos en la aplicación de la ozonoterapia por las diferentes vías de administración. Para la recopilación del dato primario se elaboró una planilla donde se plasmó la información obtenida de los controles económicos (Registro de Costo). Se usó el método porcentual como medida de resumen a fin de llevar a cabo las comparaciones adecuadas. Entre los resultados más relevantes figura que la vía de administración más utilizada fue la rectal (90 porciento), con un costo total de $ 102,52; en 1993 se registró el costo más bajo y en 1996 el más alto, dado por un menor número de pacientes atendidos. Esto demuestra la importancia de la relación enfermera-paciente, la cual contribuyó de manera decisiva a la aceptación de la vía rectal


Asunto(s)
Ozono/economía , Ozono/uso terapéutico , Retinitis Pigmentosa/terapia , Costos de la Atención en Salud
18.
Rev. cuba. enferm ; 15(2): 104-8, mayo-ago. 1999. tab
Artículo en Español | CUMED | ID: cum-17722

RESUMEN

Se realizó un estudio descriptivo y prospectivo de carácter analítico en un universo de 1 960 pacientes con retinosis pigmentaria tratadas con ozono en el Centro Provincial de Retinosis Pigmentaria de Santiago de Cuba, durante el período comprendido desde julio de 1993 hasta igual mes de 1997, con el objetivo de determinar el resultado de los costos en la aplicación de la ozonoterapia por las diferentes vías de administración. Para la recopilación del dato primario se elaboró una planilla donde se plasmó la información obtenida de los controles económicos (Registro de Costo). Se usó el método porcentual como medida de resumen a fin de llevar a cabo las comparaciones adecuadas. Entre los resultados más relevantes figura que la vía de administración más utilizada fue la rectal (90 porciento), con un costo total de $ 102,52; en 1993 se registró el costo más bajo y en 1996 el más alto, dado por un menor número de pacientes atendidos. Esto demuestra la importancia de la relación enfermera-paciente, la cual contribuyó de manera decisiva a la aceptación de la vía rectal (AU)


Asunto(s)
Ozono/uso terapéutico , Ozono/economía , Costos de la Atención en Salud , Retinitis Pigmentosa/terapia
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