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Titolo:
MEASURING ACTIVITIES IN CLINICAL-TRIALS USING RANDOM WORK SAMPLING - IMPLICATIONS FOR COST-EFFECTIVENESS ANALYSIS AND MEASUREMENT OF THE INTERVENTION
Autore:
ODDONE E; WEINBERGER M; HURDER A; HENDERSON W; SIMEL D;
Indirizzi:
VET AFFAIRS MED CTR,CTR HLTH SERV RES PRIMARY CARE DURHAM NC 27705 VET AFFAIRS MED CTR,CTR COOPERAT STUDIES HLTH SERV HINES IL 00000
Titolo Testata:
Journal of clinical epidemiology
fascicolo: 8, volume: 48, anno: 1995,
pagine: 1011 - 1018
SICI:
0895-4356(1995)48:8<1011:MAICUR>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICINE HOUSE STAFF; INTERNAL-MEDICINE; TIME; CALL;
Keywords:
CLINICAL TRIALS; WORK SAMPLING; HEALTH SERVICES; TIME-MOTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
11
Recensione:
Indirizzi per estratti:
Citazione:
E. Oddone et al., "MEASURING ACTIVITIES IN CLINICAL-TRIALS USING RANDOM WORK SAMPLING - IMPLICATIONS FOR COST-EFFECTIVENESS ANALYSIS AND MEASUREMENT OF THE INTERVENTION", Journal of clinical epidemiology, 48(8), 1995, pp. 1011-1018

Abstract

Determining research-related costs from intervention-related costs isimportant for both clinical and health services research. Often this task involves estimating what proportion of the workday personnel spend on a variety of activities. We used a portable random reminder beeper to measure the daily work activities and contacts of study nurses within the context of a multi-site randomized trial designed to assess the effectiveness of primary care. Nurses recorded 4920 work activitiesover 140 consecutive workdays. Research-related activities consumed the largest proportion of the workday, 42.5% (95% CI, 38.1-46.7) followed by patient care, 28.8% (24.1-33.2), personal time 16.4% (12.0-20.7), and time spent in transit 12.5% (9.1-15.9). Because this research-related time is spent performing tasks specific to the enrollment of patients and measurement of outcome variables, we will use an adjusted annual salary for these nurses (from $56,392-$32,425) when attributing costs of the intervention in cost-effectiveness analyses and for futuremanagement projections. Work sampling is a flexible, inexpensive method that was well accepted by the nurses in this study. Our results provide important insights into the costs analysis of complex interventions involving health professionals and may allow us to explore why the intervention worked or did not work at individual sites.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 11:46:18