Economic evaluation of resilience training for medical students: A cohort state-transition model.

IF 3.3 2区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Medical Teacher Pub Date : 2025-10-01 Epub Date: 2025-02-02 DOI:10.1080/0142159X.2025.2459371

Stijntje W Dijk, Eline Krijkamp, M G Myriam Hunink

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引用次数: 0

Abstract

Background: Resilience training shows moderate effect in combatting burnout, yet little is known about its cost-effectiveness. This study analyzes the cost-effectiveness of offering resilience training to medical students with elevated stress from a Dutch university medical center (payer) perspective compared to mental health support as usual.

Methods: We constructed a state-transition cohort (Markov) model to estimate quality-adjusted lifeyears and associated costs of offering resilience training to a cohort of 410 first-year medical students over a 6-year timeframe. Utility values were obtained through baseline data from the DEcrease STress through RESilience training for Students (DESTRESS) study. Data on transition probabilities and the effect of resilience training were based on the best available literature. We resampled all data to generate 10,000 simulations of incremental costs and effects in a probabilistic analysis.

Results: On average students gained 0.15 QALYs (95%CI 0.09, 0.20) at a cost-saving of €1076 (95%CI 412, 2008), making resilience training the dominant strategy. These savings resulted from an assumed reduction in study delay due to a reduction in symptoms of stress and burnout. For every euro the university invests in resilience training, we estimatea return of investment of €2.79.

Conclusions: This study provides evidence that offering resilience training to medical students is cost-effective and cost-saving.

查看原文本刊更多论文

医学生心理弹性训练的经济评估：一个队列状态转换模型。

背景：弹性训练在对抗倦怠方面显示出适度的效果，但对其成本效益知之甚少。本研究从荷兰大学医疗中心（付款人）的角度分析了与通常的心理健康支持相比，为压力升高的医学生提供弹性训练的成本效益。方法：我们构建了一个状态转换队列（Markov）模型来估计410名一年级医学生在6年时间框架内提供弹性训练的质量调整寿命年和相关成本。效用值是通过学生弹性训练减少压力（DESTRESS）研究的基线数据获得的。关于转移概率和弹性训练效果的数据是基于现有的最佳文献。我们重新采样了所有数据，在概率分析中生成了10,000个增量成本和效果的模拟。结果：平均而言，学生获得了0.15个QALYs (95%CI 0.09, 0.20)，节省了1076欧元的成本（95%CI 412, 2008），使弹性训练成为主要策略。这些节省是由于假定由于压力和倦怠症状的减少而减少了学习延误。我们估计，大学在弹性培训上每投资1欧元，就能获得2.79欧元的投资回报。结论：本研究证明医学生心理弹性训练具有成本效益和节约成本的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Teacher 医学-卫生保健

CiteScore

7.80

自引率

8.50%

发文量

396

审稿时长

3-6 weeks

期刊介绍： Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.