Evidence map›Paper›PMID 31402515›Full record

SynthesisMedical education2019

Cost evaluations in health professions education: a systematic review of methods and reporting quality.

Jonathan Foo, David A Cook, Kieran Walsh, Robert Golub, Mohamed Elhassan Abdalla, Dragan Ilic, Stephen Maloney

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jonathan FooDepartment of Physiotherapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.ORCID 0000-0003-4533-8307
David A CookDivision of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0003-2383-4633
Kieran WalshBMJ Learning, BMJ, BMA House, London, UK.ORCID 0000-0003-1268-4676
Robert GolubNorthwestern University Feinberg School of Medicine Chicago, Chicago, Illinois, USA.
Mohamed Elhassan AbdallaCollege of Medicine, University of Sharjah, Sharjah, UAE.ORCID 0000-0002-9241-1370
Dragan IlicSchool of Public Health and Preventive Medicine, Monash University, Frankston, Victoria, Australia.ORCID 0000-0001-5127-9185
Stephen MaloneyDepartment of Physiotherapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.ORCID 0000-0003-2612-5162

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextHigh-quality research into education costs can inform better decision making. Improvements to cost research can be guided by information about the research questions, methods and reporting of studies evaluating costs in health professions education (HPE). Our objective was to appraise the overall state of the field and evaluate temporal trends in the methods and reporting quality of cost evaluations in HPE research.

methodsWe searched the MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE, Business Source Complete and ERIC (Education Resources Information Centre) databases on 31 July 2017. To evaluate trends over time, we sampled research reports at 5-year intervals (2001, 2006, 2011 and 2016). All original research studies in HPE that reported a cost outcome were included. The Medical Education Research Study Quality Instrument (MERSQI) and the BMJ economic checklist were used to appraise methodological and reporting quality, respectively. Trends in quality over time were analysed.

resultsA total of 78 studies were included, of which 16 were published in 2001, 15 in 2006, 20 in 2011 and 27 in 2016. The region most commonly represented was the USA (n = 43). The profession most commonly referred to was that of the physician (n = 46). The mean ± standard deviation (SD) MERSQI score was 10.9 ± 2.6 out of 18, with no significant change over time (p = 0.55). The mean ± SD BMJ score was 13.5 ± 7.1 out of 35, with no significant change over time (p = 0.39). A total of 49 (63%) studies stated a cost-related research question, 23 (29%) stated the type of cost evaluation used, and 31 (40%) described the method of estimating resource quantities and unit costs. A total of 16 studies compared two or more interventions and reported both cost and learning outcomes.

conclusionsThe absolute number of cost evaluations in HPE is increasing. However, there are shortcomings in the quality of methodology and reporting, and these are not improving over time.

Indexed as

ChecklistCost-Benefit AnalysisHealth OccupationsQuality of Health CareResearch DesignEducation, MedicalHumans

Identifiers

PMID31402515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.