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Evaluating Patient and Physician Cost Knowledge in the Emergency Department

This study has been completed.
Information provided by (Responsible Party):
Camille Hollifield, University of Utah Identifier:
First received: June 10, 2013
Last updated: December 22, 2016
Last verified: December 2016
The purpose of this study is to identify existing cost knowledge of Emergency Medicine (EM) physicians and patients and investigates its reported impacts on medical compliance. A cross-sectional survey will be administered electronically to Emergency Medicine physicians at the University of Utah Hospital and the Emergency Physician Integrated Care, LLC (EPIC) who staff ten-community hospital Emergency Departments (ED) in order to investigate physician knowledge and attitudes regarding cost and perceived patient compliance. In addition, a cross-sectional survey will be administered to a convenience sample of patients presenting to the University of Utah Emergency Department to obtain information about their cost knowledge and reported compliance. All ED patients will complete a follow-up phone survey to measure compliance with recommendations made during the ED visits. Following administration of the baseline survey physicians will be provided the prices of the test and procedures and will be re-surveyed 30-days later as a post intervention test to measure changes in knowledge and attitudes.

Economic Problems

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Cross-Sectional
Official Title: Do Providers and Consumers Know the Cost of Common Tests and Procedures Delivered in the Emergency Department?

Further study details as provided by University of Utah:

Primary Outcome Measures:
  • Proportion of emergency medicine physician with accurate (+/- 25% of actual cost) cost knowledge of common medical services; influence on testing and prescribing patterns. [ Time Frame: 1 year ]
    Measure the extent of formal education regarding cost of medical services that physicians in the survey population have received and how that impacts knowledge and accuracy; perceived impact on medical compliance among patients.

Secondary Outcome Measures:
  • Proportion of emergency department patients with accurate (+/- 25% actual costs) knowledge of medical service cost; correlation between health literacy and cost knowledge accuracy in patients. [ Time Frame: 1 year ]
    Measure patient health literacy using the REALM-SF (AHRQ) and determine any correlation with cost estimation accuracy and reported impact on medical compliance among patients.

Other Outcome Measures:
  • Efficacy of intervention to improving accuracy in cost estimation in emergency physicians. [ Time Frame: 1 year ]
    Changes in self-reported cost knowledge competency and cost estimation accuracy using the intervention comparing the baseline report at time of enrollment to 30 days post intervention.

Enrollment: 512
Study Start Date: August 2012
Study Completion Date: August 2013
Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Emergency Department Patients
Emergency Medicine Physicians


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

There will be two distinct study populations in this study. The first population will consist of physicians from Emergency Medicine. There are 51 Emergency Medicine physicians at the University of Utah (27 attending, 24 residents); there are 138 board-certified Emergency Medicine physicians in the EPIC group therefore a projected provider cohort of n=90 (about 50% of 189) is anticipated. The only exclusion criterion for physicians is they do not practice in one of the above-mentioned provider groups.

The second population will consist of patients presenting to the University Utah Emergency Department who are determined by the attending physicians to be mentally and physically competent to complete the questionnaire (n=450). Included in this cohort are all English speaking patients who are eighteen years of age and older, who are deemed psychologically and medically stable by the ED care provider, are not prisoners, and were not brought in by EMS.


Inclusion Criteria Patient Population:

  • 18 years old or older
  • Deemed psychologically and medically stable by the ED care provide
  • Speak English

Exclusion Criteria Patient Population:

  • Prisoner
  • Brought to Emergency Department by Emergency Medical Service

Inclusion Criteria Physician Population:

  • Employed in target medical practices

Exclusion Criteria Physician Population:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01883778

United States, Utah
University of Utah
Salt Lake City, Utah, United States, 84132
Sponsors and Collaborators
University of Utah
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Camille Hollifield, PhD, MPH, University of Utah Identifier: NCT01883778     History of Changes
Other Study ID Numbers: 00057136
Study First Received: June 10, 2013
Last Updated: December 22, 2016

Keywords provided by University of Utah:
Attitudes of health personnel
Attitudes of patients
Medical compliance
Cost awareness
Cost analysis
Patient knowledge
Physician knowledge
Medical economics
Health literacy

Additional relevant MeSH terms:
Disease Attributes
Pathologic Processes processed this record on May 25, 2017