基于先进模拟器与传统人体模型比较的高级生命支持（ALS）课程成本效益评估。
Cost-efficiency assessment of Advanced Life Support (ALS) courses based on the comparison of advanced simulators with conventional manikins.
作者信息
Iglesias-Vázquez José Antonio, Rodríguez-Núñez Antonio, Penas-Penas Mónica, Sánchez-Santos Luís, Cegarra-García Maria, Barreiro-Díaz Maria Victoria
机构信息
Public Emergency Medical System of Galicia-061 (PEMSG), Servicio Galego de Saúde (SERGAS), Santiago de Compostela, Spain.
出版信息
BMC Emerg Med. 2007 Oct 22;7:18. doi: 10.1186/1471-227X-7-18.
BACKGROUND
Simulation is an essential tool in modern medical education. The object of this study was to assess, in cost-effective measures, the introduction of new generation simulators in an adult life support (ALS) education program.
METHODS
Two hundred fifty primary care physicians and nurses were admitted to ten ALS courses (25 students per course). Students were distributed at random in two groups (125 each). Group A candidates were trained and tested with standard ALS manikins and Group B ones with new generation emergency and life support integrated simulator systems.
RESULTS
In group A, 98 (78%) candidates passed the course, compared with 110 (88%) in group B (p < 0.01). The total cost of conventional courses was euro 7689 per course and the cost of the advanced simulator courses was euro 29034 per course (p < 0.001). Cost per passed student was euro 392 in group A and euro 1320 in group B (p < 0.001).
CONCLUSION
Although ALS advanced simulator systems may slightly increase the rate of students who pass the course, the cost-effectiveness of ALS courses with standard manikins is clearly superior.
背景
模拟是现代医学教育中的一项重要工具。本研究的目的是以具有成本效益的方式评估在成人生命支持（ALS）教育项目中引入新一代模拟器的情况。
方法
250名初级保健医生和护士参加了10期ALS课程（每期25名学生）。学生被随机分为两组（每组125名）。A组学员使用标准ALS人体模型进行培训和测试，B组学员使用新一代应急与生命支持集成模拟器系统进行培训和测试。
结果
A组有98名（78%）学员通过课程，而B组为110名（88%）（p < 0.01）。传统课程的总成本为每期7689欧元，先进模拟器课程的成本为每期29034欧元（p < 0.001）。A组每名通过课程的学生成本为392欧元，B组为1320欧元（p < 0.001）。
结论
虽然ALS先进模拟器系统可能会使课程通过率略有提高，但使用标准人体模型的ALS课程的成本效益明显更高。
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