Yau Christopher W H, Pizzo Elena, Morris Steve, Odd David E, Winter Cathy, Draycott Timothy J
The Chilterns, Southmead Hospital, Bristol, UK.
Department of Applied Health Research, University College London, London, UK.
Acta Obstet Gynecol Scand. 2016 Oct;95(10):1111-9. doi: 10.1111/aogs.12956.
We aim to outline the annual cost of setting up and running a standard, local, multi-professional obstetric emergencies training course, PROMPT (PRactical Obstetric Multi-Professional Training), at Southmead Hospital, Bristol, UK - a unit caring for approximately 6500 births per year.
A retrospective, micro-costing analysis was performed. Start-up costs included purchasing training mannequins and teaching props, printing of training materials and assembly of emergency boxes (real and training). The variable costs included administration time, room hire, additional printing and the cost of releasing all maternity staff in the unit, either as attendees or trainers. Potential, extra start-up costs for maternity units without established training were also included.
The start-up costs were €5574 and the variable costs for 1 year were €143 232. The total cost of establishing and running training at Southmead for 1 year was €148 806. Releasing staff as attendees or trainers accounted for 89% of the total first year costs, and 92% of the variable costs. The cost of running training in a maternity unit with around 6500 births per year was approximately €23 000 per 1000 births for the first year and around €22 000 per 1000 births in subsequent years.
The cost of local, multi-professional obstetric emergencies training is not cheap, with staff costs potentially representing over 90% of the total expenditure. It is therefore vital that organizations consider the clinical effectiveness of local training packages before implementing them, to ensure the optimal allocation of finite healthcare budgets.
我们旨在概述在英国布里斯托尔市南米德医院设立并运行一门标准的、本地化的、多专业产科急救培训课程——实用产科多专业培训（PROMPT）的年度成本。该医院每年接生约6500例婴儿。
进行了一项回顾性微观成本分析。启动成本包括购买训练模型和教学道具、印刷培训材料以及组装应急箱（实物和训练用）。可变成本包括行政时间、场地租赁、额外印刷以及让该科室所有产科工作人员作为学员或培训师参加培训所产生的成本。还包括了没有既定培训的产科单位可能产生的额外启动成本。
启动成本为5574欧元，一年的可变成本为143232欧元。南米德医院设立并运行该培训一年的总成本为148806欧元。让工作人员作为学员或培训师产生的成本占第一年总成本的89%，占可变成本的92%。在每年接生约6500例婴儿的产科单位，第一年每1000例分娩的培训运行成本约为23000欧元，后续年份约为每1000例分娩22000欧元。
本地化的多专业产科急救培训成本不低，人员成本可能占总支出的90%以上。因此，各机构在实施本地培训方案之前考虑其临床效果至关重要，以确保有限的医疗保健预算得到最优分配。
