Thompson Carl, Pulleyblank Ryan, Parrott Steve, Essex Holly
School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Department of Health Studies, University of York, York, UK.
J Eval Clin Pract. 2016 Feb;22(1):26-30. doi: 10.1111/jep.12421. Epub 2015 Jul 23.
In resource constrained systems, decision makers should be concerned with the efficiency of implementing improvement techniques and technologies. Accordingly, they should consider both the costs and effectiveness of implementation as well as the cost-effectiveness of the innovation to be implemented. An approach to doing this effectively is encapsulated in the 'policy cost-effectiveness' approach. This paper outlines some of the theoretical and practical challenges to assessing policy cost-effectiveness (the cost-effectiveness of implementation projects). A checklist and associated (freely available) online application are also presented to help services develop more cost-effective implementation strategies.
在资源受限的系统中，决策者应关注实施改进技术和工艺的效率。因此，他们应同时考虑实施的成本与效果以及拟实施创新的成本效益。有效做到这一点的一种方法体现在“政策成本效益”方法中。本文概述了评估政策成本效益（实施项目的成本效益）所面临的一些理论和实际挑战。还提供了一份清单及相关的（可免费获取的）在线应用程序，以帮助各服务机构制定更具成本效益的实施策略。
