Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study.
Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study.
复制标题
DOI：
10.1186/s12909-023-04038-1
复制
发表时间：
2023-01-30
影响因子：
3.6
通讯作者：
Greenup, Rachel A.
中科院分区：
文献类型：
--
作者：
Tait, Sarah D.;Oshima, Sachiko M.;Leeras, Harold J.;Gunn, Alexander;Sarver, Melissa;Gunes, Funda;Greenup, Rachel A.
在医疗保健成本不断上升的背景下，许多医学院缺乏与治疗相关的经济困难的正规教育，使未来的医生没有受过良好的教育，也没有做好从事高价值护理的准备。我们进行了一项前瞻性队列研究，以描述2019年至2020年和2020年至2021年医学生对治疗相关经济困难的了解，后一队列接受有针对性的教育干预，以提高成本意识。使用柯克帕特里克的四个层次的培训评估模型，调查数据进行了分析，以表征干预的可接受性和干预对学生的知识，态度和自我报告的准备从事成本意识的护理的影响。总体而言，N = 142名医学生完成了研究调查;非干预组61人（47.3%），干预组81人（66.4%）。在干预组完成基线调查的81人中，65人（80.2%）完成了干预后即刻调查，39人（48.1%）完成了干预后两个月调查。在教育干预后，学生报告说，与干预前的反应相比，他们对常见财务术语的理解、对成本相关资源的获取以及参与成本讨论的舒适度和准备程度都有了显着提高。大多数参与者（97.4%）报告说，他们会向未来的学生推荐干预措施。与没有经济压力的同龄人相比，有更大比例的经济压力的学生在做出治疗决定时会考虑患者的费用。有针对性的教育干预，以提高成本意识有可能提高医学生的知识和准备从事成本意识的护理。学生的经济压力可能会影响高价值的护理实践。关于高价值护理，包括与治疗有关的经济困难的强有力的课程应在医学院培训中正式化和普及。在线版本包含补充材料，可通过10.1186/s12909-023-04038-1获得。
In the context of rising healthcare costs, formal education on treatment-related financial hardship is lacking in many medical schools, leaving future physicians undereducated and unprepared to engage in high-value care. We performed a prospective cohort study to characterize medical student knowledge regarding treatment-related financial hardship from 2019 to 2020 and 2020–2021, with the latter cohort receiving a targeted educational intervention to increase cost awareness. Using Kirkpatrick’s four-level training evaluation model, survey data was analyzed to characterize the acceptability of the intervention and the impact of the intervention on student knowledge, attitudes, and self-reported preparedness to engage in cost-conscious care. Overall, N = 142 medical students completed the study survey; 61 (47.3%) in the non-intervention arm and 81 (66.4%) in the intervention arm. Of the 81 who completed the baseline survey in the intervention arm, 65 (80.2%) completed the immediate post-intervention survey and 39 (48.1%) completed the two-month post-intervention survey. Following the educational intervention, students reported a significantly increased understanding of common financial terms, access to cost-related resources, and level of comfort and preparedness in engaging in discussions around cost compared to their pre-intervention responses. The majority of participants (97.4%) reported that they would recommend the intervention to future students. A greater proportion of financially stressed students reported considering patient costs when making treatment decisions compared to their non-financially stressed peers. Targeted educational interventions to increase cost awareness have the potential to improve both medical student knowledge and preparedness to engage in cost-conscious care. Student financial stress may impact high-value care practices. Robust curricula on high-value care, including treatment-related financial hardship, should be formalized and universal within medical school training. The online version contains supplementary material available at 10.1186/s12909-023-04038-1.
登录
查看更多内容
影响因子：
6.2
作者：
de Souza JA;Yap BJ;Wroblewski K;Blinder V;Araújo FS;Hlubocky FJ;Nicholas LH;O'Connor JM;Brockstein B;Ratain MJ;Daugherty CK;Cella D
通讯作者：
Cella D
影响因子：
45.3
作者：
Meropol, Neal J.;Schrag, Deborah;Schnipper, Lowell E.
通讯作者：
Schnipper, Lowell E.
影响因子：
7.4
作者：
Cayea, Danelle;Tartaglia, Kim;Lang, Valerie J.
通讯作者：
Lang, Valerie J.
影响因子：
--
作者：
Greenup, Rachel A.;Rushing, Christel;Hwang, E. Shelley
通讯作者：
Hwang, E. Shelley
影响因子：
3.6
作者：
Pahwa AK;Eaton K;Apfel A;Bertram A;Ridell R;Cayea D
通讯作者：
Cayea D