Cost and value in medical education: the role of discounting
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摘要:
Medical education is an expensive activity[1].It is also a very long-term activity.Medical education interventions today will have impact up for 40 years into the future as today's medical students continue to practice over a long career[2].The expense of medical education has led to a new interest in how to ensure maximum returns for educational investment.The new discipline of cost and value in medical education is clearly in its infancy with relatively few papers so far reporting rigorous results on the cost effectiveness or cost benefit or cost utility ratios of education interventions[3].Even those that do rarely take into account the effect that discounting might have on their calculations.This is a commonly overlooked and yet important shortcoming-particularly because the benefits of medical education may accrue many years after it has occurred.