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Using cost-analyses to inform health professions education - The economic cost of pre-clinical failure

机译：使用成本分析来告知健康专业教育 - 临床前失败的经济成本

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摘要

Background: Student failure creates additional economic costs. Knowing the cost of failure helps to frame its economic burden relative to other educational issues, providing an evidence-base to guide priority setting and allocation of resources. The Ingredients Method is a cost-analysis approach which has been previously applied to health professions education research. In this study, the Ingredients Method is introduced, and applied to a case study, investigating the cost of pre-clinical student failure. Methods: The four step Ingredients Method was introduced and applied: (1) identify and specify resource items, (2) measure volume of resources in natural units, (3) assign monetary prices to resource items, and (4) analyze and report costs. Calculations were based on a physiotherapy program at an Australian university. Results: The cost of failure was 5991 pound per failing student, distributed across students (70%), the government (21%), and the university (8%). If the cost of failure and attrition is distributed among the remaining continuing cohort, the cost per continuing student educated increases from 9923 pound to 11,391 pound per semester. Conclusions: The economics of health professions education is complex. Researchers should consider both accuracy and feasibility in their costing approach, toward the goal of better informing cost-conscious decision-making.
机译：背景：学生失败创造了额外的经济成本。了解失败的成本有助于框架相对于其他教育问题的经济负担，为指导优先设置和资源分配提供证据基础。该成分方法是一种成本分析方法，先前已应用于健康专业教育研究。在该研究中，介绍了成分方法，并应用于案例研究，研究了临床前学生失败的成本。方法：介绍和应用四步成分方法：（1）识别和指定资源项目，（2）衡量自然单位的资源量，（3）将货币价格分配给资源项目，（4）分析和报告费用。计算基于澳大利亚大学的物理治疗计划。结果：每名失败的学生失败成本为5991磅，分布在学生（70％），政府（21％）和大学（8％）。如果在剩余的持续队列中分配失败和磨损成本，则每学期持续受过9923磅至11,391磅的每个持续学生的成本增加。结论：卫生职业教育的经济学很复杂。研究人员应考虑其成本核算方法的准确性和可行性，以更好地了解成本有意识的决策。

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  • 来源
    《Medical teacher》 |2018年第12期|共10页
  • 作者

    Foo Jonathan; Ilic Dragan; Rivers George; Evans Darrell J. R.; Walsh Kieran; Haines Terry P.; Paynter Sophie; Morgan Prue; Maloney Stephen;

  • 作者单位

    Monash Univ Sch Primary &

    Allied Hlth Care Melbourne Vic Australia;

    Soc Cost &

    Value Hlth Profess Educ Melbourne Vic Australia;

    Soc Cost &

    Value Hlth Profess Educ Melbourne Vic Australia;

    Univ Newcastle Australia Acad Div Newcastle NSW Australia;

    Soc Cost &

    Value Hlth Profess Educ Melbourne Vic Australia;

    Monash Univ Sch Primary &

    Allied Hlth Care Melbourne Vic Australia;

    Monash Univ Sch Primary &

    Allied Hlth Care Melbourne Vic Australia;

    Monash Univ Sch Primary &

    Allied Hlth Care Melbourne Vic Australia;

    Monash Univ Sch Primary &

    Allied Hlth Care Melbourne Vic Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
  • 关键词

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