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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >Building research capacity in developing countries: Cost-effectiveness of an epidemiology course taught by traditional and video-teleconferencing methods in Pakistan
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Building research capacity in developing countries: Cost-effectiveness of an epidemiology course taught by traditional and video-teleconferencing methods in Pakistan

机译：发展中国家的研究能力建设：巴基斯坦传统和电视电话会议方法教授的流行病学课程的成本效益

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Background: Building research capacity in developing countries using cost-effective methods has been recognized as an important pillar for the production of a sound evidence base for decision-making in policy and practice. We assessed the effectiveness and cost-effectiveness of a research training course conducted using traditional methods as well as the video-teleconferencing (VTC) method in Pakistan. Subjects and Methods: A 9-day epidemiology research training course was offered to physicians in Pakistan (92%) and Bangladesh (8%). The course was taught using (1) a traditional classroom face-to face (F2F) method at the Aga Khan University, Karachi, Pakistan, and (2) the VTC method at two medical institutions within Pakistan. In total, 40 participants were selected for the F2F group and 46 for the VTC group. Outcome parameters were assessed pre- and post-course (short-term) as well as after 1 year (long-term). Costs of conducting the training by both methods were also identified using cost-effectiveness analysis. Results: The total study sample included 56 participants (F2F n =38, VTC n=18) for the short-term and 49 participants for the long-term assessment. After the end of the course (Day 9), mean post-test 1 scores showed significant improvement in both groups: 15.08±1.75 in F2F (p=0.001) versus 13.122±1.87 in VTC (p=0.001). Mean scores 1 year after the course (post-test 2) were lower than mean post-test 1 scores in both groups (13.42±2.61 in F2F versus 12.31±2.08 in VTC) but were higher than the baseline pretest scores. The total incremental cost per score gained was higher for the VTC group for both short-term (VTC incremental cost was $166/score gained) and long-term (VTC incremental cost was $458/ score gained) course effectiveness. Conclusions: The use of e-technologies in developing countries proves to be an effective way of building capacity and reducing the problems of brain drain. This initial study provides a foundation from which larger studies may be developed.
机译：背景：人们公认使用成本有效的方法在发展中国家进行研究能力建设是为政策和实践决策提供可靠证据基础的重要支柱。我们评估了在巴基斯坦使用传统方法以及视频电话会议（VTC）方法进行的研究培训课程的有效性和成本效益。对象和方法：为巴基斯坦（92％）和孟加拉国（8％）的医生提供了为期9天的流行病学研究培训课程。该课程的教学方法是（1）在巴基斯坦卡拉奇的阿迦汗大学使用传统的面对面（F2F）课堂教学方法，以及（2）在巴基斯坦的两家医疗机构使用VTC方法。 F2F组总共选择了40名参与者，VTC组选择了46名参与者。在疗程前后（短期）以及1年（长期）后评估结果参数。还使用成本效益分析确定了通过两种方法进行培训的成本。结果：整个研究样本包括短期的56名参与者（F2F n = 38，VTC n = 18）和长期的49名参与者。在课程结束后（第9天），两组的测试后1分均显示出显着改善：F2F组为15.08±1.75（p = 0.001），而VTC组为13.122±1.87（p = 0.001）。疗程后一年（测试后2）的平均得分均低于两组的测试后1平均得分（F2F组为13.42±2.61，而VTC组为12.31±2.08），但高于基线测试前得分。对于短期（VTC增量成本为166美元/分数）和长期（VTC增量成本为458美元/分数）而言，VTC组获得的每分总增量成本较高。结论：在发展中国家，使用电子技术被证明是建设能力和减少人才流失问题的有效方法。这项初步研究为进一步开展研究提供了基础。

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