Douglas S, Daly B, Rudy E, Song R, Dyer M A, Montenegro H
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
J Nurs Adm. 1995 Nov;25(11):47-53. doi: 10.1097/00005110-199511000-00009.
To assess the relative value of healthcare programs, technologic innovations, and clinical decisions, policymakers are searching for ways to evaluate cost-effectiveness. What constitutes cost-effectiveness and how should it be measured? The authors discuss ways in which the cost-effectiveness of clinical programs can be measured and describes various methods of assessing both costs and effectiveness. Comparison of the cost-effectiveness of a nurse managed special care unit with that of traditional intensive care units illustrates some of these methods.
为评估医疗保健项目、技术创新和临床决策的相对价值,政策制定者正在寻找评估成本效益的方法。什么构成成本效益以及应如何衡量它?作者讨论了衡量临床项目成本效益的方法,并描述了评估成本和效益的各种方法。将护士管理的特殊护理单元与传统重症监护单元的成本效益进行比较说明了其中一些方法。