护理实践的经济评估：文献综述

Economic evaluation of nursing practices: a review of literature.

作者信息

Lämås K, Willman A, Lindholm L, Jacobsson C

机构信息

Department of Nursing, Umeå University, Umeå, Sweden.

出版信息

Int Nurs Rev. 2009 Mar;56(1):13-20. doi: 10.1111/j.1466-7657.2008.00672.x.

DOI:10.1111/j.1466-7657.2008.00672.x

PMID:19239511

Abstract

BACKGROUND

The importance of cost-effectiveness of nursing practices and its influence on prioritizations has been discussed in literature. It is, however, unclear to what extent health economic analysis has been used in the area of nursing.

AIM

The aim of this paper was to investigate how studies of nursing practices apply economic evaluations.

METHODS

A literature review was conducted that included studies through August 2007. The search was performed using Medline, CINAHL, PsycINFO, Econlit, DARE, HTA, NHS EED, Cochrane reviews and clinical trials with a search term connected to nursing and health economics. Protocols were used in the screening procedure and the result is reported in a descriptive form.

RESULTS

The search identified 115 studies published between 1984 and August 2007. Studies were found in the following nursing practices: provision of support and treatment (n = 17); assessing suffering/well-being (n = 1); preventing or treating ill health (n = 53); and organization of individual care (n = 44). In 22% of all studies, the authors explicitly presented the health economic method used. In 25% of all studies, the perspective of the economic analysis was explicitly stated and a large variability in cost was considered in the analysis. In 82 studies, the authors reported cost-effective intervention.

CONCLUSIONS

Although economic evaluation of nursing practice has increased, it is still a rather small area. According to the items elucidated in this study, further methodological improvement is needed to evaluate the economics of nursing.

摘要

背景

护理实践的成本效益及其对优先事项的影响在文献中已有讨论。然而，目前尚不清楚卫生经济分析在护理领域的应用程度。

目的

本文旨在研究护理实践的研究如何应用经济评估。

方法

进行了一项文献综述，纳入截至2007年8月的研究。使用Medline、CINAHL、PsycINFO、Econlit、DARE、HTA、NHS EED、Cochrane综述和临床试验进行检索，检索词与护理和卫生经济学相关。筛选过程中使用了方案，并以描述性形式报告结果。

结果

检索到1984年至2007年8月期间发表的115项研究。这些研究涉及以下护理实践：提供支持和治疗（n = 17）；评估痛苦/幸福感（n = 1）；预防或治疗疾病（n = 53）；以及组织个体护理（n = 44）。在所有研究的22%中，作者明确介绍了所使用的卫生经济方法。在所有研究的25%中，明确阐述了经济分析的视角，并且在分析中考虑了成本的较大差异。在82项研究中，作者报告了具有成本效益的干预措施。