Orlik Witold, Aleo Giuseppe, Kearns Thomas, Briody Jonathan, Wray Jane, Mahon Paul, Gazić Mario, Radoš Normela, García Vivar Cristina, Lillo Crespo Manuel, Fitzgerald Catherine
Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.
Division of Population Health Sciences, Data Science Centre, Royal College of Surgeons in Ireland, Dublin, Ireland.
Med Educ. 2022 Oct;56(10):972-982. doi: 10.1111/medu.14813. Epub 2022 Apr 29.
Continuing professional development (CPD) activities for healthcare professionals are central to the optimisation of patient safety and person-centred care. Although there is some evidence on the economics of healthcare professionals training, very little is known about the costs and benefits of CPD.
This study aimed to review the research evidence on economic evaluations of CPD activities for healthcare professionals. CINAHL, MEDLINE/PubMed, Scopus, Econlit and Web of Science databases were used to identify articles published between 2010 and 2021.
Of the 6791 titles identified, 119 articles met the inclusion criteria and were included in this scoping review. The majority of articles were partial economic evaluations of CPD programmes (n = 70); half were from the USA. Studies that included multiple professions were most prevalent (n = 54), followed by nurses (n = 34) and doctors (n = 23). Patient outcomes were the most commonly reported outcome (n = 51), followed by change in clinical practice (n = 38) and healthcare professionals' knowledge gain (n = 19).
There is an urgent call for more evidence regarding the economic evaluations of CPD. This is particularly important in view of the rising costs of healthcare globally. The majority of studies included in this review did not provide detailed information on the evaluations and many focused exclusively on the cost of CPD activities rather than outcomes.
医疗保健专业人员的持续专业发展（CPD）活动是优化患者安全和以患者为中心的护理的核心。尽管有一些关于医疗保健专业人员培训经济学的证据，但对于CPD的成本和收益知之甚少。
本研究旨在回顾关于医疗保健专业人员CPD活动经济评估的研究证据。使用CINAHL、MEDLINE/PubMed、Scopus、Econlit和Web of Science数据库来识别2010年至2021年期间发表的文章。
在识别出的6791个标题中，119篇文章符合纳入标准并被纳入本范围综述。大多数文章是CPD项目的部分经济评估（n = 70）；一半来自美国。包括多个专业的研究最为普遍（n = 54），其次是护士（n = 34）和医生（n = 23）。患者结局是最常报告的结局（n = 51），其次是临床实践的变化（n = 38）和医疗保健专业人员的知识获取（n = 19）。
迫切需要更多关于CPD经济评估的证据。鉴于全球医疗保健成本的不断上升，这一点尤为重要。本综述中纳入的大多数研究没有提供关于评估的详细信息，许多研究仅关注CPD活动的成本而非结局。
