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Identifying, evaluating and implementing cost-effective skill mix.

G Richardson1

  • 1Centre for Health Economics, University of York, UK.

Journal of Nursing Management
|April 29, 2000
PubMed
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Evaluating staff skill mix changes in the National Health Service (NHS) is crucial. Economic evaluations are underutilized but essential for determining cost-effectiveness and guiding implementation for improved patient care.

Area of Science:

  • Health Services Research
  • Health Economics
  • Nursing Workforce Studies

Background:

  • The National Health Service (NHS) incurs significant costs for direct patient care staff.
  • Altering staff combinations (skill mix) has demonstrated effectiveness in various healthcare settings.

Purpose of the Study:

  • To highlight the underutilization of economic evaluation in skill mix studies.
  • To emphasize the need for adequate cost-effectiveness analysis of staff skill mix changes.

Main Methods:

  • Review of existing literature on skill mix changes in the NHS.
  • Analysis of the limitations in current economic evaluations of staff skill mix.

Main Results:

  • Opportunity cost implications of skill mix changes are infrequently evaluated.

Related Experiment Videos

  • The impact of reallocating professional time is often unestimated, hindering cost-effectiveness determination.
  • Poor study design frequently exacerbates difficulties in evaluating skill mix changes.

    • Conclusions:

    • Economic evaluation is under-utilized in skill mix research.
    • Demonstrated cost reduction and maintained/improved patient outcomes via economic evaluation provide strong evidence for skill mix implementation.
    • Incentives may be necessary for personnel, influencing costs; ongoing monitoring of costs and effectiveness is recommended.