THE CLINICAL AND ECONOMIC BENEFITS OF SIMULATION –BASED MEDICAL EDUCATION TO THE BUDGET

Yıl 2023, Cilt: 13 Sayı: 26, 645 - 661, 30.11.2023

Ali Alu

https://doi.org/10.53092/duiibfd.1262640

Öz

Especially in the last two decades, there has been an increase in simulation-based training applications to increase the technical and non-technical skills of health care providers. In many scientific studies, thereare many studies on the effect of simulation education and research applications on theincrease of cost and clinical skills. In this study, we conducted a literature study on the clinical and economic benefits of simulation-based medical education on the budget. In this context, in order to determine the clinical and economic benefits of simulation-based medical education to the budget, a search was carried out on Google Schoolar, Pupmed and Science directs earch engines between 2010-2020 by entering the words "Simulation-basedmedical education, cost-effectiveness, budget effect". By using the word groups specified at theend of all these operations; Pubmed 75 Google Schoolar 162 and ScienceDirect 37 reached 274 results in total. All there sults obtained were reviewed and studies not directly related to the subject and the same articles that are duplicate of each other were excluded; A total of 21 results in the form of reviews, research articles, papers and reports were evaluated. The scientific studies evaluated within thescope of this study support the fact that simulation-based training practices provide clinical and economic benefits to the budget and that there is a positive relation ship between them.

Anahtar Kelimeler

Simulation Education, Cost-Effectivenes, Budget Effect, Health Care

SİMÜLASYON TEMELLİ TIP EĞİTİMİN BÜTÇEYE SAĞLADIĞI KLİNİK VE EKONOMİK FAYDALAR

Öz

Son yirmi yılda, sağlık hizmeti sağlayıcıları teknik ve teknik olmayan becerilerini artırmak için simülasyon temelli eğitim uygulamalarını sıkça kullanmaktadır. Birçok bilimsel çalışma da Simülasyon eğitimi ve araştırma uygulamalarının maliyet ve klinik becerilerin artması üzerinde etkisi konusunu ele almaktadır. Bu bağlamda çalışmada simülasyon temelli tıp eğitimin bütçeye sağladığı klinik ve ekonomik faydaları belirlemek için Google Schoolar, Pupmed ve Sciencedirect arama motorları üzerinde 2010-2020 yılları arasında ‘Simülasyon temelli tıp eğitimi, maliyet-etkililik, bütçe etkisi’ sözcük grupları girilerek tarama yapılmıştır. Tüm bu işlemlerin sonunda belirtilen sözcük grupları kullanılarak; pupmed 75 Google Schoolar 162 ve Sciencedirect 37 toplam 274 sonuca ulaşılmıştır. Elde edilen tüm sonuçlar gözden geçirilerek, konu ile doğrudan ilgisi olmayan çalışmalar ve birbirinin tekrarı olan aynı yazılar kapsam dışında tutulmuş; derleme, araştırma makalesi, bildiri ve rapor niteliğinde toplam 21 sonuç değerlendirmeye alınmıştır. Bu çalışma kapsamında değerlendirilen bilimsel çalışmalar, simülasyon temelli eğitim uygulamalarının bütçeye klinik ve ekonomik açıdan fayda sağladığı görülmüştür.

Anahtar Kelimeler

Simülasyon Eğitimi, Maliyet-Etkililik, Bütçe Etkisi, Sağlık Hizmeti

Kaynakça

• Bae, D. Lync, H. Katherine, J. (2017). From Reductions in Cast-Saw Burns After Simulation-Based Education for Orthopaedic Surgery Residents J Bone Joint Surg Am. 94 (1-6), http://dx.doi.org/10.2106/JBJS.17.00199.
• Cohen, E. Joe, F. Jeffrey, B. Cynthia, B. Anna, O. William, M. & Diane, W. (2010). Cost Savings From Reduced Catheter-Related Blood stream Infection After Simulation-Based Education for Residents in a Medical Intensive Care Unit. Economic or Health Policy Articles, 98-102.
• Cook, D. Hamstra, S. J. Brydges, R. Zendejas, B. Szostek, J. H. Wang, A. T, Erwin, J. & Hatala, R. (2012). Comparative effectiveness of instructional designfeatures in simulation-based education: Systematic reviewand meta-analysis. PubMed.
• Çetinkaya, E. (2018). Use of simulation in nursing education: opinions of students, SDÜ Sağlık Bilimleri Enstitüsü Dergisi, 9(2), 13-19.
• Demirbilek, M. (2016). Tıp Fakültesi Öğretim Üyelerinin Öğretimde Bilgisayar Tabanlı Simülasyon Kullanımı Hakkında Görüşlerinin Araştırılması, Eğitim Fakültesi Dergisi, 29(1), 1-23.
• Gaba, D. M. (2007). The future vision of simulation in healthcare. Simulation in Healthcare, 2(2), 126-135.
• Gardner, A. & Nepomnayve, D. (2016). Thevalueproposition of simulation Department of Surgery, UT Southwestern Medical Center, Dallas, TX 75390, 546-552.
• Hippe, D. (2020). A targeted systematic review of costanalyses for implementation of simulation-based education in health care, SAGE Open Medicine, 1–9.
• Kamel, M. Eltahawy, E. A. Warford, R. Thrush, C. R. & Noureldin, Y. A. (2018). Simulation-based training in urology residency programmes in the USA: Results of a nation wide survey. Arab Journal of Urology, 446-452.
• Khan, R. Aydin, A. Khan, M. S., Dasqupta, P., & Ahmed, K. (2014). Simulation‐based training for prostate surgery, BJU Internatonal, 1-27.
• Kothari, L. Shah, K. & Barach, P. (2017). Simulation based medical education in graduate medical education training and assessment programs, Progress in Pediatric Cardiology, 44, 33–42.
• Lane, J. L. Slavin, S. & Ziv, A. (2001). Simulation in medical education: A review. Simulation & Gaming, 32(3), 297-314.
• Lin, Y. Cheng, A. Hecker, K. Grant, V. & Currie, G. R. (2017). Implementing economic evaluation in simulation-based medical education: challenge sand opportunities, Medical Education, 52, 150–160. doi: 10.1111/medu.13411.
• Ma I. W. Y. Brindle, M. E, Ronksley, P. E. Lorenzetti, D. L., Sauve, R. S. & Ghali, W, A. (2011). Use of simulation-based education to improve outcomes of central venous catheterization: a systematic review and meta-analysis. Acad Med, 86(9), 1137–1147.
• Maloney, S. & Haines, T. (2016). Issues of cost-benefit and cost-effectiveness for simulation in healt hprofessions education. Advances in Simulation, 1, 13 DOI 10.1186/s41077-016-0020-3.
• Mıdık, Ö. & Kartal, M. (2015). Theuse of virtual patients in medical education, Marmara Medical Journal, 28, 63-69.
• Rooney, D. Tai, B. L. Sagher, O. Shih, A. J. Wilkinson, D. A. & Savastano, L. E. (2016). Simulator and 2 tools: Validation of performance measures from a nove lneuro surgery simulation model using the current Standard sframework. Surgery, 160, 571-579.
• Ruder, J. A. Turvey, B. Hsu, J. R. & Scannell, B. P. (2017). Effectiveness of a Low-Cost Drilling Module in Orthopaedic Surgical Simulation. Journal of Surgical Education, 471-476.
• Ryall, T. Judd, B. & Gordon, C. (2016). Simulation-based assessments in health Professional education: a systematic review. J Multidiscip Healthc, 9, 69–82.
• Stefanidis, D. Sevdalis, N. John, P. Boris, Z. Rajesh, A. Teodor, G. & Daniel, J. (2015). Simulation in Surgery What’s Needed Next? Ann Surg, 846–853.
• Ven, J. Baaren, G. J. Fransen, A. F. van Runnard Heimel, P. J. Mol, B. W. & Oei, S. G. (2017). Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study). European Journal of Obstetrics & Gynecologyand Reproductive Biology, 216, 130–137.
• Walton, A. Kestler, E. Dettinger, J. C. Zelek, S. Holme, F. & Walker, D. (2016). Impact of a low-technology simulation-based obstetricand new born caretraining scheme on non-emergency delivery practices in Guatemala. International Journal of Gynecology and Obstetrics, 132, 359–364.
• William, Mc G. Barry, I. S. Elaine, C. Jeffrey, B. & Diane, W. (2012). Does Simulation-based Medical Education with Deliberate Practice Yield Better Results than Traditional Clinical Education? A Meta-Analytic Comparati ve Review of the Evidence, Academic Medicine. 86(6),706-711.
• Yıldırım, Ö. Z. Kocaağalar, E. & Bölükbaş, R. (2019). Eğitimde inavasyon: sağlık eğitiminde simülasyon kullanımı. Beyder, 14(1), 33-41.
• Zendejas, B. Wang, A. T. Brydges, R. Hamstra, S. J. & Cook, D. A. (2013). Cost: the missing outcome in simulation-based medical education research: a systematic review. Surgery, 153(2), 160-176.