医疗保健中护理服务的成本及成本效益

The cost and cost-effectiveness of nursing services in health care.

作者信息

Spetz Joanne

机构信息

University of California-San Francisco, 3333 California Street, Suite 410, San Francisco, CA 94118, USA.

出版信息

Nurs Outlook. 2005 Nov-Dec;53(6):305-9. doi: 10.1016/j.outlook.2005.05.006.

DOI:10.1016/j.outlook.2005.05.006

PMID:16360702

Abstract

This article examines the literature on cost-effectiveness in nursing, and considers the relationship between this literature and decision-making in health care systems. Researchers have attempted to examine costs and benefits of nurse staffing and nursing interventions for decades. There are strong literatures for some topics, such as advanced practice nursing, clinical practices, occupational health nursing, and workplace training. However, there are gaps in the literature on the cost-effectiveness of nurse staffing patterns, the use of agency personnel, and changes in organizational structure. A review of 6 major health care management textbooks finds few references to cost-effectiveness analysis, suggesting that health care leaders have little education regarding how to conduct or evaluate economic studies. The agenda for nursing research on cost-effectiveness is daunting. Research must be based on large, representative samples; provide clear, compelling results; discuss the importance of both costs and benefits in decision-making; and be published in highly-visible journals.

摘要

本文审视了护理领域中关于成本效益的文献，并探讨了该文献与医疗保健系统决策之间的关系。几十年来，研究人员一直试图研究护士配备和护理干预的成本与效益。对于一些主题，如高级实践护理、临床实践、职业健康护理和职场培训，已有丰富的文献。然而，关于护士人员配置模式的成本效益、代理人员的使用以及组织结构变化的文献存在空白。对6本主要的医疗保健管理教科书的回顾发现，很少有关于成本效益分析的参考文献，这表明医疗保健领导者在如何进行或评估经济研究方面的教育很少。护理领域成本效益研究的议程艰巨。研究必须基于大型、具有代表性的样本；提供清晰、有说服力的结果；讨论成本和效益在决策中的重要性；并发表在知名度高的期刊上。