Does offering pricing information to resident physicians in the emergency department potentially reduce laboratory and radiology costs?
Does offering pricing information to resident physicians in the emergency department potentially reduce laboratory and radiology costs?
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向急诊科的住院医生提供定价信息是否有可能降低实验室和放射科的成本？
DOI：
10.1097/mej.0000000000000171
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发表时间：
2014
影响因子：
4.4
通讯作者：
L. de Canniere
中科院分区：
文献类型：
--
作者：
G. Nougon;X. Muschart;V. Gérard;C. Boulouffe;J. Jamart;D. Van Pee;L. de Canniere
目的本研究的目的是建立价格表信息是否可以降低急诊科（ED）的实验室和放射检查费用。材料与方法在比利时一所大学医院的艾德门诊对成人（>16岁）入院进行前瞻性调查。对9名住院急诊医生进行了为期6个月的随访，分为2个月：对照期（2011年10月和11月）、干预期（2011年12月至2012年1月）和洗脱期（2012年2月和3月）。在各自的时间段内，每天入院的实验室和放射学费用进行了计算和比较。结果共登记了3758例患者：第1阶段（对照）1093例，第2阶段（干预）1329例，第3阶段（洗脱）1336例。我们观察到检查费用显著降低：第2阶段与第1阶段相比，实验室费用降低10.73%（P=0.015），放射学费用降低33.66%（P<0.001）;第3阶段与第1阶段相比，实验室费用降低5.02%（P=0.014），放射学费用降低40.00%（P<0.001）。此外，我们发现，实验室检查费用在第2和第3阶段之间略有增加（+6.4%），而与放射学检查相关的费用继续下降（-10.16%）;然而，这些差异在统计学上并不显著。结论我们的结论是，价格表在ED的分布促进成本意识，这可能会导致显着降低检查成本。
Objectives The aim of this study was to establish whether price list information could reduce laboratory and radiological examination costs in emergency departments (EDs). Materials and methods A prospective survey of adult (>16 years old) admissions was conducted at the ED of a university hospital in Belgium. Nine resident emergency physicians were followed for a span of 6 months, which was divided into 2-month periods: control (October and November 2011), intervention (December 2011 to January 2012), and washout (February and March 2012). Laboratory and radiological costs for each of the daily admissions were calculated during the respective periods and compared. Results A total of 3758 patients were registered: 1093 in period 1 (control), 1329 in period 2 (intervention), and 1336 in period 3 (washout). We observed significant reductions in examination costs: 10.73% (P=0.015) for laboratory and 33.66% (P<0.001) for radiological costs in period 2 versus period 1; 5.02% (P=0.014) for laboratory and 40.00% (P<0.001) for radiological costs in period 3 versus period 1. In addition, we found that laboratory examination costs increased slightly between periods 2 and 3 (+6.4%), whereas costs related to radiologic examinations continued to decrease (−10.16%); however, these differences were not statistically significant. Conclusion We conclude that the distribution of price lists at EDs promotes cost awareness, which can result in significant decreases in examination costs.