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首页> 外文期刊>BMC Health Services Research >Embedding an economist in regional and rural health services to add value and reduce waste by improving local-level decision-making: protocol for the ‘embedded Economist’ program and evaluation
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Embedding an economist in regional and rural health services to add value and reduce waste by improving local-level decision-making: protocol for the ‘embedded Economist’ program and evaluation

机译：在区域和农村卫生服务中嵌入经济学家，增加价值，通过改善当地级别决策：“嵌入式经济学家”计划和评估议定书

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Systematic approaches to the inclusion of economic evaluation in national healthcare decision-making are usual. It is less common for economic evaluation to be routinely undertaken at the ‘local-level’ (e.g. in a health service or hospital) despite the largest proportion of health care expenditure being determined at this service level and recognition by local health service decision makers of the need for capacity building in economic evaluation skills. This paper describes a novel program – the embedded Economist (eE) Program. The eE Program aims to increase local health service staff awareness of, and develop their capacity to access and apply, economic evaluation principles in decision making. The eE program evaluation is also described. The aim of the evaluation is to capture the contextual, procedural and relational aspects that assist and detract from the eE program aims; as well as the outcomes and impact from the specific eE projects. The eE Program consists of a embedding a health economist in six health services and the provision of supported education in applied economic evaluation, provided via a community of practice and a university course. The embedded approach is grounded in co-production, embedded researchers and ‘slow science’. The sites, participants, and program design are described. The program evaluation includes qualitative data collection via surveys, semi-structured interviews, observations and field diaries. In order to share interim findings, data are collected and analysed prior, during and after implementation of the eE program, at each of the six health service sites. The surveys will be analysed by calculating frequencies and descriptive statistics. A thematic analysis will be conducted on interview, observation and filed diary data. The Framework to Assess the Impact from Translational health research (FAIT) is utilised to assess the overall impact of the eE Program. This program and evaluation will contribute to knowledge about how best to build capacity and skills in economic evaluation amongst decision-makers working in local-level health services. It will examine the extent to which participants are able to improve their ability to utilise evidence to inform decisions, avoid waste and improve the value of care delivery.
机译：常规，将经济评估列入国家医疗决策的系统方法。经济评估常常在“地方一级”（例如在卫生服务或医院）的经济评估不太常见，尽管在本服务水平和当地卫生服务决策者的卫生保健支出比例最高的卫生支出和认可经济评估技能的能力建设需求。本文介绍了一种新颖的程序 - 嵌入式经济学家（EE）计划。 EE计划旨在提高当地卫生服务人员的认识，并制定其在决策中获得和应用的能力，经济评估原则。还描述了EE计划评估。评估的目的是捕捉到助攻和减损EE计划旨在的上下文，程序和关系方面;以及特定EE项目的结果和影响。 EE计划包括六项卫生经济学家，并通过实践社区和大学课程提供了应用经济评估中的受支持教育。嵌入式方法在共同生产，嵌入式研究人员和“缓慢的科学”中。描述了站点，参与者和程序设计。程序评估包括通过调查，半结构性访谈，观察和现场日记进行定性数据收集。为了共享中期调查结果，在六个卫生服务地点的每个卫生服务地点之前，在EE计划的实施期间，期间和之后收集和分析数据。将通过计算频率和描述性统计来分析调查。将在面试，观察和归档日记数据进行主题分析。评估转化健康研究（契约）的影响的框架用于评估EE计划的整体影响。该计划和评估将有助于了解如何最好地建立在当地卫生服务的决策者中的经济评估能力和技能。它将审查参与者能够提高其利用证据来告知决策的能力的程度，避免浪费并提高护理递送的价值。

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