Using cost-analyses to inform health professions education - The economic cost of pre-clinical failure.

Abstract:

BACKGROUND:Student failure creates additional economic costs. Knowing the cost of failure helps to frame its economic burden relative to other educational issues, providing an evidence-base to guide priority setting and allocation of resources. The Ingredients Method is a cost-analysis approach which has been previously applied to health professions education research. In this study, the Ingredients Method is introduced, and applied to a case study, investigating the cost of pre-clinical student failure. METHODS:The four step Ingredients Method was introduced and applied: (1) identify and specify resource items, (2) measure volume of resources in natural units, (3) assign monetary prices to resource items, and (4) analyze and report costs. Calculations were based on a physiotherapy program at an Australian university. RESULTS:The cost of failure was £5991 per failing student, distributed across students (70%), the government (21%), and the university (8%). If the cost of failure and attrition is distributed among the remaining continuing cohort, the cost per continuing student educated increases from £9923 to £11,391 per semester. CONCLUSIONS:The economics of health professions education is complex. Researchers should consider both accuracy and feasibility in their costing approach, toward the goal of better informing cost-conscious decision-making.

journal_name

Med Teach

journal_title

Medical teacher

authors

Foo J,Ilic D,Rivers G,Evans DJR,Walsh K,Haines TP,Paynter S,Morgan P,Maloney S

doi

10.1080/0142159X.2017.1410123

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1221-1230

issue

12

eissn

0142-159X

issn

1466-187X

journal_volume

40

pub_type

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