Trial reportMedical education2015
Linking quality of care and training costs: cost-effectiveness in health professions education.
Trial report in Medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mobile Digital Education for Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Does group size matter during collaborative skills learning? A randomised study.Medical education · 2022Trial
- Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based training approaches on day of birth care among maternal and newborn healthcare providers in Ebonyi and Kogi States, Nigeria; a randomized controlled trial.BMC health services research · 2018Trial
- Linking quality of care and training costs: cost-effectiveness in health professions education.Medical education · 2015Trial
- The Knowledge Gap: A Survey of Pelvic Floor Understanding Amongst Gynaecology Trainees in Ireland.International urogynecology journal · 2025Article
- Return on investment of rapid ICU workforce upskilling: an economic and cost-effectiveness analysis.Intensive care medicine · 2025Article
- Simulation in Obstetric and Gynecologic Ultrasound Training: Design and Implementation Considerations.Journal of clinical medicine · 2025Article
- The surprising costs of on-site surgical team CRM training: a Dutch example analyzed.Advances in simulation (London, England) · 2025Article
- Transferring health professionals social and cognitive skills: key findings from a qualitative investigation.Advances in simulation (London, England) · 2025Article
- Development of a 3D-printed nuchal translucency model: a pilot study for prenatal ultrasound training.Archives of gynecology and obstetrics · 2024Article
- Knowledge, attitude, and practice toward value-based care among Chinese nurse: a cross-sectional study.BMC nursing · 2024Article
- Enhancing Laryngoscopy Mastery: The Impact of Autonomous Practice with Feedback-Providing Simulators.A&A practice · 2024Article
- Current status of ultrasound training in obstetrics and gynecology: a scoping literature review.Frontiers in medicine · 2024Article
- Cost of simulation-based mastery learning for abdominal ultrasound.BMC medical education · 2023Article
- The role of training simulators in interventional radiation therapy (brachytherapy) training: A narrative review.Journal of contemporary brachytherapy · 2023Review
- Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review.International journal of environmental research and public health · 2023Article
- Cost-Effectiveness Analysis in Performance Assessments: A Case Study of the Objective Structured Clinical Examination.Medical education online · 2022Article
- Hands-On Time in Simulation-Based Ultrasound Training - A Dose-Related Response Study.Ultrasound international open · 2022Article
- Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics.Endoscopy international open · 2022Article
- Implementation of a structured emergency nursing framework results in significant cost benefit.BMC health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo provide a model for conducting cost-effectiveness analyses in medical education. The model was based on a randomised trial examining the effects of training midwives to perform cervical length measurement (CLM) as compared with obstetricians on patients' waiting times. (CLM), as compared with obstetricians.
methodsThe model included four steps: (i) gathering data on training outcomes, (ii) assessing total costs and effects, (iii) calculating the incremental cost-effectiveness ratio (ICER) and (iv) estimating cost-effectiveness probability for different willingness to pay (WTP) values. To provide a model example, we conducted a randomised cost-effectiveness trial. Midwives were randomised to CLM training (midwife-performed CLMs) or no training (initial management by midwife, and CLM performed by obstetrician). Intervention-group participants underwent simulation-based and clinical training until they were proficient. During the following 6 months, waiting times from arrival to admission or discharge were recorded for women who presented with symptoms of pre-term labour. Outcomes for women managed by intervention and control-group participants were compared. These data were then used for the remaining steps of the cost-effectiveness model.
resultsIntervention-group participants needed a mean 268.2 (95% confidence interval [CI], 140.2-392.2) minutes of simulator training and a mean 7.3 (95% CI, 4.4-10.3) supervised scans to attain proficiency. Women who were scanned by intervention-group participants had significantly reduced waiting time compared with those managed by the control group (n = 65; mean difference, 36.6 [95% CI 7.3-65.8] minutes; p = 0.008), which corresponded to an ICER of 0.45 EUR minute(-1) . For WTP values less than EUR 0.26 minute(-1) , obstetrician-performed CLM was the most cost-effective strategy, whereas midwife-performed CLM was cost-effective for WTP values above EUR 0.73 minute(-1) .
conclusionCost-effectiveness models can be used to link quality of care to training costs. The example used in the present study demonstrated that different training strategies could be recommended as the most cost-effective depending on administrators' willingness to pay per unit of the outcome variable.
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