Evaluating Patient and Physician Cost Knowledge in the Emergency Department
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.
The Focus of the Study is Assessing Current Knowledge of the Cost of Medical Care Consumed and Prescribed in the ED.
|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?|
- 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 ] [ Designated as safety issue: No ]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.
- 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 ] [ Designated as safety issue: No ]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.
- Efficacy of intervention to improving accuracy in cost estimation in emergency physicians. [ Time Frame: 1 year ] [ Designated as safety issue: No ]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.
|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|
Please refer to this study by its ClinicalTrials.gov identifier: NCT01883778
|United States, Utah|
|University of Utah|
|Salt Lake City, Utah, United States, 84132|