Impact of laboratory cost display on resident attitudes and knowledge about costs

Long, Theodore; Bongiovanni, Tasce; Dashevsky, Meir; Halim, Andrea; Ross, Joseph S.; Fogerty, Robert L.; Silvestri, Mark T.

doi:10.1136/postgradmedj-2015-133851

Cited by 19 publications

(12 citation statements)

References 21 publications

(21 reference statements)

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“…The shared responsibility of judicious spending and distribution of services falls to and has been accepted by physicians. [32][33][34] Despite this, levels of cost literacy among physicians appear to have remained stagnant. This may be explained by the Surgeon no.…”

Section: Discussionmentioning

confidence: 99%

Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending

Abraham

Goyert

Kagedan

et al. 2018

cjs

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Background: Rising health care costs have led to increasing focus on cost containment and accountability from health care providers. We sought to explore surgeon awareness of supply costs for open and laparoscopic distal gastrectomy.Methods: Surveys were sent in 2015 to surgeons at 8 academic hospitals in Toronto who performed distal gastrectomy for gastric adenocarcinoma. Respondents were asked to estimate the total cost, type and number of disposable equipment pieces required to perform open and laparoscopic distal gastrectomy. We determined the accuracy of estimates through comparisons with procedural invoices for distal gastrectomy performed between Jan. 1, 2011, and Dec. 31, 2015. All values are in 2015 Canadian dollars. Results:Of the 53 surveys sent out, 12 were completed (response rate 23%). Surgeon estimates of total supply costs ranged from $500 to $3000 and from $1500 to $5000 for open and laparoscopic cases, respectively. Estimated supply costs for requested equipment ranged from $464 to $2055 for open cases and from $1870 to $2960 for laparoscopic cases. Invoices for actual equipment yielded a mean of $821 (standard deviation $543) (range $89-$2613) for open cases and $2678 (standard deviation $958) (range $835-$4102) for laparoscopic cases. Estimates of total cost were within 25% of the median invoice total in 1 response (9%) for open cases and 3 (27%) of those for laparoscopic cases.

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Section: Discussionmentioning

confidence: 99%

Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending

Abraham

Goyert

Kagedan

et al. 2018

cjs

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“…Our study is novel in this emerging field of literature in assessing and comparing the perspectives of teaching faculty and residents. [11][12][13][14] Because the main sources of learning for residents are peers and faculty, understanding the barriers faced by faculty and their training needs can help programs better equip them to model HVCCC for residents. 10,15,16 Access to pricing data was viewed as a key tool to facilitate HVCCC training.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Training Faculty and Resident Perceptions on Teaching High-Value, Cost-Conscious Care: A Multi-Institutional Study

King

DiPace

Naifeh

et al. 2017

Hospital Pediatrics

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“…8 There is almost no data to describe if this knowledge deficit exists among EM trainees. The reliance on diagnostic testing in the ED, as well as the escalating costs of providing care make this a particularly important arena in which to improve this knowledge.…”

Section: Discussionmentioning

confidence: 99%

Can Emergency Medicine Residents Predict Cost of Diagnostic Testing?

Tainter¹,

Gentges²,

Thomas³

et al. 2017

WestJEM

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IntroductionDiagnostic testing represents a significant portion of healthcare spending, and cost should be considered when ordering such tests. Needless and excessive spending may occur without an appreciation of the impact on the larger healthcare system. Knowledge regarding the cost of diagnostic testing among emergency medicine (EM) residents has not previously been studied.MethodsA survey was administered to 20 EM residents from a single ACGME-accredited three-year EM residency program, asking for an estimation of patient charges for 20 commonly ordered laboratory tests and seven radiological exams. We compared responses between residency classes to evaluate whether there was a difference based on level of training.ResultsThe survey completion rate was 100% (20/20 residents). We noted significant discrepancies between the median resident estimates and actual charge to patient for both laboratory and radiological exams. Nearly all responses were an underestimate of the actual cost. The group median underestimation for laboratory testing was $114, for radiographs $57, and for computed tomography exams was $1,058. There was improvement in accuracy with increasing level of training.ConclusionThis pilot study demonstrates that EM residents have a poor understanding of the charges burdening patients and health insurance providers. In order to make balanced decisions with regard to diagnostic testing, providers must appreciate these factors. Education regarding the cost of providing emergency care is a potential area for improvement of EM residency curricula, and warrants further attention and investigation.

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Impact of laboratory cost display on resident attitudes and knowledge about costs

Cited by 19 publications

References 21 publications

Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending

Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending

Pediatric Training Faculty and Resident Perceptions on Teaching High-Value, Cost-Conscious Care: A Multi-Institutional Study

Can Emergency Medicine Residents Predict Cost of Diagnostic Testing?

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