一种务实的方法来估计交付和参与实施战略的成本
Hannah Cheng1,2, Maryam Abdel Magid3,4, Mark P McGovern3,5
1Stanford Center for Dissemination and Implementation, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 1070 Arastradero Road, Palo Alto, CA, 94304-5590, USA. chenghh@stanford.edu.
Implementation science : IS
|October 17, 2025
概括
本研究引入了一种微成本计算方法,以区分实施交付和参与成本. 了解这些不同的成本有助于为医疗保健计划选择有效的策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 卫生经济学 卫生经济学
背景情况:
- 实施成本经常被忽视或在经济评估中结合在一起.
- 交付和参与成本可能会单独融资,因此需要进行不同的测量.
- 建议采用务实的微成本计算方法来区分这些成本组件.
研究的目的:
- 提出一个微成本计量方法来分离实施交付和参与成本.
- 概述实施成本的准确和精确测量的实际考虑.
- 为了证明这种方法在成治疗计划中的应用.
主要方法:
- 在64个成治疗计划和初级保健诊所中,采用了微成本方法.
- 实施策略包括审计和反 (A&F),研讨会和促进.
- 实际考虑包括调查设计,培训,提醒,定制,验证和代改进.
主要成果:
- 对于A&F,设置成本为32,266美元,其中99%用于交付.
- 每年经常性费用为每家诊所4,231美元,参与费用为63%.
- 这凸显了参与的重大成本,这些成本往往被实施地点所承担.
结论:
- 拟议的微成本计算方法是务实的,对经济评估具有信息意义.
- 将成本分开,可以根据背景和预算做出更明智的战略选择决策.
- 这有助于有效优化实施速度和结果.
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