Impact of a Cost-Containment Educational Program on Housestaff Ambulatory Clinic Charges
Bibliographic Data
| ID | 9100693 |
|---|---|
| Authors | William B Applegate (0000-0003-4717-238X, University of Tennessee Health Science Center, corresponding author), Max D Bennett (University of New Mexico), Lance A Chilton (University of New Mexico), LANCE CHILTON, Betty Skipper (University of New Mexico), Betty J Skipper, Robert E White (0000-0002-8045-164X, University of New Mexico) |
| Year | 1983 |
| Volume | 21 |
| Issue | 5 |
| Pages | 486-496 |
| Publication date | 1983-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198305000-00002 |
| PMID | 6843201 |
| OpenAlex | W1977709919 |
| Language | EN |
| Citations received | 6 |
A cost-containment project was established to determine if a broad educational program that coupled clinical logic with feedback of charges to internal medicine residents in an ambulatory clinic setting could alter behavior. The project was evaluated by comparing charge data from a preintervention comparison year with charge data from the intervention year. Decreases in charges for laboratory procedures occurred in six of the seven diagnostic categories during intervention and were significant (t-test) for four categories. Regression analysis evaluated the influence of the intervention and 12 other variables on charges and demonstrated that the intervention was associated with a mean reduction of lab charges of $ 6.30 (p less than 0.0001) and a mean reduction of total encounter charges of $ 10.36 (p less than 0.01). We conclude that our educational program resulted in a decrease in mean laboratory changes and total charges for ambulatory encounters
Ambulatory · Family medicine · Intervention (counseling) · Regression toward the mean · Statistics · Test (biology) · Clinical Reasoning and Diagnostic Skills · Emergency Medicine · Healthcare cost, quality, practices · Innovations in Medical Education · Internal Medicine · Mathematics · Medicine · Nursing
Influencing Behavior of Physicians Ordering Laboratory Tests
Failure of Low-cost Audits With Feedback to Reduce Laboratory Test Utilization
A Successful Experiment to Reduce Unnecessary Laboratory Use in a Community Hospital
The Effect of Physician Personality on Laboratory Test Ordering for Hypertensive Patients
Improving House Staff Ordering of Three Common Laboratory Tests
Physician Utilization
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,15 |
| Citation span | 1987 - 2002 (16) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |