欢迎来到我们SDG Editorial Board Members博客集合。我们正在听到BMC系列期刊编辑委员会成员的消息，他们的工作与实现可持续发展目标相符。在这里，您可以在此集合中找到其他帖子，并与标签“ SDG编辑董事会成员”分组。

“维修权”医疗设备的环境可持续性

A medical修正权(RTR) movement can improve the sustainability and the environmental impact of the medical field. Yet, the effective implementation of medical RTR remains challenging. Healthcare systems are progressively relying on linear supply chains based on single-use disposable medical devices. This intrinsically unsustainable paradigm of manufacturing and use of medical equipment contributes to rising healthcare costs and worldwide ecological destruction. The effects imperil public health by contaminating the air, soil, and water, depleting resources, and causing catastrophic climate change. In this respect, sustainable development is making an urgent call to change the way in which the healthcare system satisfies its needs. Medical RTR would enable medical equipment to circulate through technical cycles of reuse, repair, re-purposing and recycling. Hence, medical RTR would make possible the transition of the healthcare system to a more circular economy furthering the goal of providing increasingly complex care in an environment-friendly future. The circular economy is an essential part of the sustainability agenda and has the potential to contribute to several Sustainable Development Goals (SDGs). Thus, effective implementation of medical RTR has powerful effects on achieving affordable and sustainable standards for the healthcare system.

“Right To Repair” For A Circular Healthcare Economy:

During the Covid-19 pandemic, medical device companies responded by providing technical information and resources to biomedical technicians to meet the needs of front-line healthcare providers. In the United States (U.S.) last year, Oregon Senator Ron Wyden introduced the RTR act calling manufacturers to provide the technical knowledge and tools necessary for hospitals to repair medical equipment.

从那以后，医疗RTR运动取得了重大进展。2021年7月9日，美国总统拜登（Biden）签署了一项全面的行政命令，敦促联邦贸易委员会（FTC）制定RTR法规，并发布规则，以防止制造商对产品的维修施加限制。

In this respect, medical RTR yields the implementation of a循环经济模型of healthcare that ensures that medical equipment is maintained at the highest value application for a longer lifespan. It provides a way to maximize equipment’s productivity, minimize waste and achieve sustainable standards. The medical RTR can allow medical equipment to flow through technological cycles of repair, reprocessing and reuse. As a consequence, RTR legislation is expected to allow the healthcare sector in the US to become more sustainable, environment-friendly and affordable.

医学领域“维修权”的意义：

Covid-19大流行后,供应链系统tems proved to be vulnerable to disruptions from manufacturing shortages, interrupted transportation systems and price increases. In addition to Covid-19, climate change remains the most important threat to the global ecosystem, including the healthcare system. Therefore, it is critical we act with appropriate concern.

In 2003, large hospitals in the US made up less than 1% of all commercial buildings but used up to 4.3% of all commercial energy consumed in the US. In terms of global warming, US hospitals produced the equivalent of about 215 million metric tons of carbon dioxide in 2007 (Commercial Building Energy Consumption Survey-CBECS).

除了满足医疗设备短缺外，医疗RTR似乎是开发环境友好的医疗部门的关键策略。发现重新处理和维修可有效消除浪费和改善环境可持续性。实际上，在联合国，加拿大和欧洲的后处理公司在2018年将医院的固体废物产生近7,100吨减少了（Macneill等，2020）。

医疗修理权面临的挑战：

尽管可修复性对于环境可持续性很重要，但医疗设备维修面临挑战。安全，安全性和适应性是在推进RTR法律时要考虑的主要挑战性考虑因素。

First, patient’s safety is a main priority when considering the implementation of medical RTR. Regulations and standards are crucial to ensure quality repairs allowing medical devices to function as planned. In contrast, inaccurate repairs may result in serious and life-threatening implications.

Second, the security consideration needs to be taken into account throughout the repair process. To this end, the patient’s privacy needs to be protected and security against hacking and other cybercrimes needs to be maintained.

第三，医疗RTR必须适应持续的医疗创新和医疗保健系统的需求。医疗RTR应尊重IP（知识产权）权利，以此作为继续在医疗技术领域创新的一种方式。原始制造商可能会观察到缺陷和效率低下，并根据临床需求响应创新，并且调节不应抑制这些不断发展的规格。但是，在紧急维修可以挽救生命的情况下，例如COVID-19大流行，医疗RTR可以帮助协调保持创新的需求，并在患者护理中需要可修复性和开放性。

Road Map to A Circular Healthcare Economy:

为了使医疗RTR有效，为了实现有效的长期可持续发展，必须消失用于编程过时的设计错误。

An action plan needs to include clear incentives for manufacturers to provide the spare parts, tools and necessary technical knowledge to allow hospitals to repair their equipment. Also, products should be designed to last in time and be able to be repaired multiple times before they have to be recycled. Thus, design for durability is a key feature of the circular economy.

此外,读出相关规章制度cal RTR need to ensure that medical equipment is subject to high quality repairs and safety regulations. To this end, a collaboration between manufacturers and hospitals is necessary to ensure that biomedical technicians follow the same standards that manufacturers have adopted.

总结一下：

基于医疗RTR的循环医疗经济提高了效率，并为当前实践的不可持续环境后果提供了替代方案。医疗体系在生态过渡中的积极作用最有可能涉及不同人和机构之间的高度协同行动。