@Article{info:doi/10.2196/13574，作者=“Meinert, Edward and Alturkistani, Abrar and Foley, Kimberley A and Brindley, David and Car, Josip”，标题=“应用健康科学的电子学习在生产和交付中的成本测量:跨案例综合”，期刊=“J Med Internet Res”，年=“2019”，月=“6”，日=“04”，卷=“21”，数=“6”，页=“e13574”，关键词=“教育”;远程教育;专业教育;网络教育;在线学习;成本及成本分析;经济"，摘要="背景:世界卫生组织的《世界卫生报告(2006年)》表明，需要大幅增加全球卫生保健资源，以满足当前和未来对卫生专业人员的需求。电子学习(e-Learning)提供了一种可扩展的教学手段，为改变和优化培训提供了可能的机会，从而降低了培训卫生专业人员和提供患者教育的成本。研究文献经常表明，与面对面教学相比，电子学习的好处是其成本效益，然而，关于与其他形式的教学进行设计和生产成本比较或建立与这些成本预算有关的标准的证据有限。目的:为了确定与其他形式的学习相比，电子学习的潜在成本优势，首先必须了解构建电子学习课程的组成部分和要素。 Without first taking this step, studies lack the essential financial accounting rigor for course planning and have an inconsistent basis for comparison. This study aimed to (1) establish standard ingredients for the cost of e-Learning course production and (2) determine the variance instructional design has on the production costs of e-Learning courses. Methods: This study made use of a cross-case method among 3 case studies using mixed methods, including horizontal budget variance calculation and qualitative interpretation of responses from course designers for budget variance using total quality management themes. The different implementation-specific aspects of these cases were used to establish common principles in the composition of budgets in the production and delivery of an applied health professional e-Learning course. Results: A total of 2 case studies reported significant negative budget variances caused by issues surrounding underreporting of personnel costs, inaccurate resource task estimation, lack of contingency planning, challenges in third-party resource management, and the need to update health-related materials that became outdated during course production. The third study reported a positive budget variance because of the cost efficiency derived from previous implementation, the strong working relationship of the course project team, and the use of iterative project management methods. Conclusions: This research suggests that the delivery costs of an e-Learning course could be underestimated or underreported and identifies factors that could be used to better control budgets. Through consistent management of factors affecting the cost of course production, further research could be undertaken using standard economic evaluation methods to evaluate the advantages of using e-Learning. ", issn="1438-8871", doi="10.2196/13574", url="//www.mybigtv.com/2019/6/e13574/", url="https://doi.org/10.2196/13574", url="http://www.ncbi.nlm.nih.gov/pubmed/31165718" }