学生主导诊所的成本和经济影响- 一个系统的审查
Debra Mitchell1, Stephen Maloney1, Luke Robinson2
1School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.
Medical education
|October 31, 2024
概括
学生领导的诊所为学生提供教育福利,并改善患者获得医疗保健的机会,但他们的财务可行性是复杂的. 需要进行全面的成本效益分析才能做出明智的决策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 医学教育 医学教育
背景情况:
- 学生主导的诊所为学生提供了有价值的培训,并为服务不足的人群提供了更好的医疗保健.
- 这些诊所的财务可行性往往是不确定的,因为各种利益相关者之间的成本和收益的复杂相互作用.
- 了解经济影响对于可持续运营和最大限度地提高社会利益至关重要.
研究的目的:
- 系统地审查和综合学生领导诊所的成本和收益的证据.
- 识别和报告用于衡量这些经济结果的方法.
- 为学生领导诊所的效率和可行性提供决策信息.
主要方法:
- 在多个数据库 (MEDLINE,PsychInfo,CINAHL,ERIC等) 中进行系统搜索. 从开始到2023年8月.
- 选研究的资格和提取研究特征,临床描述和经济结果的数据.
- 由于包含的研究中存在显著的异质性,叙事综合.
主要成果:
- 包括24项研究,采用各种方法,如结果描述-货币化方法,部分经济评估和成本描述.
- 费用由大学承担 (监督,资本,耗材),而收益则由患者,学生,大学和卫生系统共享.
- 很少有研究 (25%) 确立了临床有效性,大多数经济评估并没有完全货币化或评估发现的好处.
结论:
- 学生主导的诊所涉及各种各样的利益相关者,相关的成本和收益,使经济效率评估复杂化.
- 综合衡量成本和效益对于了解这些诊所与替代品相比的真正效率至关重要.
- 不完整的经济评估可能导致错误的决策,可能导致社会利益的损失.
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