A cost-effectiveness analysis of self-debriefing versus instructor debriefing for simulated crises in perioperative medicine in Canada / 보건의료교육평가
Journal of Educational Evaluation for Health Professions
;
: 44-2016.
Article
in English
| WPRIM
| ID: wpr-158267
ABSTRACT
PURPOSE:
High-fidelity simulation training is effective for learning crisis resource management (CRM) skills, but cost is a major barrier to implementing high-fidelity simulation training into the curriculum. The aim of this study was to examine the cost-effectiveness of self-debriefing and traditional instructor debriefing in CRM training programs and to calculate the minimum willingness-to-pay (WTP) value when one debriefing type becomes more cost-effective than the other.METHODS:
This study used previous data from a randomized controlled trial involving 50 anesthesiology residents in Canada. Each participant managed a pretest crisis scenario. Participants who were randomized to self-debrief used the video of their pretest scenario with no instructor present during their debriefing. Participants from the control group were debriefed by a trained instructor using the video of their pretest scenario. Participants individually managed a post-test simulated crisis scenario. We compared the cost and effectiveness of self-debriefing versus instructor debriefing using net benefit regression. The cost-effectiveness estimate was reported as the incremental net benefit and the uncertainty was presented using a cost-effectiveness acceptability curve.RESULTS:
Self-debriefing costs less than instructor debriefing. As the WTP increased, the probability that self-debriefing would be cost-effective decreased. With a WTP ≤Can$200, the self-debriefing program was cost-effective. However, when effectiveness was priced higher than cost-savings and with a WTP >Can$300, instructor debriefing was the preferred alternative.CONCLUSION:
With a lower WTP (≤Can$200), self-debriefing was cost-effective in CRM simulation training when compared to instructor debriefing. This study provides evidence regarding cost-effectiveness that will inform decision-makers and clinical educators in their decision-making process, and may help to optimize resource allocation in education.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Canada
/
Cost-Benefit Analysis
/
Curriculum
/
Uncertainty
/
Resource Allocation
/
Education
/
Simulation Training
/
Anesthesiology
/
Learning
Type of study:
Controlled clinical trial
/
Health economic evaluation
/
Prognostic study
Country/Region as subject:
North America
Language:
English
Journal:
Journal of Educational Evaluation for Health Professions
Year:
2016
Type:
Article
Similar
MEDLINE
...
LILACS
LIS