Asche Carl V, Kim Minchul, Brown Alisha, Golden Antoinette, Laack Torrey A, Rosario Javier, Strother Christopher, Totten Vicken Y, Okuda Yasuharu
Department of Medicine, University of Illinois College of Medicine at Peoria One Illini Drive Peoria.
Division of Emergency Medicine, University of Washington - Harborview Medical Center, 325 9th Ave Box359702, Seattle, WA, 98104.
Acad Emerg Med. 2017 Oct 26. doi: 10.1111/acem.13336.
Value-based health care requires a balancing of medical outcomes with economic value. Administrators need to understand both the clinical and economic effects of potentially expensive simulation programs to rationalize the costs. Given the often-disparate priorities of clinical educators relative to health care administrators, justifying the value of simulation requires the use of economic analyses few physicians have been trained to conduct. Clinical educators need to be able to present thorough economic analyses demonstrating returns on investment and cost effectiveness to effectively communicate with administrators. At the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes", our breakout session critically evaluated the cost benefit and return on investment of simulation. In this paper we provide an overview of some of the economic tools that a clinician may use to present the value of simulation training to financial officers and other administrators in the economic terms they understand. We also define three themes as a call to action for research related to cost benefit analysis in simulation as well as four specific research questions that will help guide educators and hospital leadership to make decisions on the value of simulation for their system or program. This article is protected by copyright. All rights reserved.
基于价值的医疗保健需要在医疗结果与经济价值之间取得平衡。管理人员需要了解潜在昂贵的模拟项目的临床和经济影响，以使成本合理化。鉴于临床教育工作者与医疗保健管理人员的优先事项往往存在差异，证明模拟的价值需要使用很少有医生接受过培训的经济分析方法。临床教育工作者需要能够进行全面的经济分析，展示投资回报和成本效益，以便与管理人员进行有效沟通。在2017年学术急诊医学共识会议“通过医疗保健模拟推动系统变革：系统、能力和结果”上，我们的分组会议对模拟的成本效益和投资回报进行了批判性评估。在本文中，我们概述了一些临床医生可以用来以财务人员和其他管理人员能够理解的经济术语展示模拟培训价值的经济工具。我们还定义了三个主题，作为对模拟成本效益分析相关研究的行动呼吁，以及四个具体的研究问题，这些问题将有助于指导教育工作者和医院领导就模拟对其系统或项目的价值做出决策。本文受版权保护。保留所有权利。
