Do Interns and Residents Order More Tests Than Attending Staff

Results of a House Staff Strike

Bibliographic Data

ID9102971
AuthorsAllan S Detsky (0000-0003-2772-3121, Toronto General Hospital, corresponding author), John Mclaughlin (0000-0001-6453-7577, University of Toronto, corresponding author), John R McLaughlin, Howard B Abrams, Howard Abrams (0000-0002-4869-3913, Toronto General Hospital), Kristan L???Abbe, Kristan L Abbe (University of Toronto), Frank M Markel, Frank Markel
Year1986
Volume24
Issue6
Pages526-534
Publication date1986-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198606000-00007
PMID3086639
OpenAlexW2018565208
LanguageEN
Citations received1

Between October 30 and November 5, 1980, the Professional Association of Interns and Residents of Ontario called a strike of house staff in Ontario's teaching hospitals. The authors obtained data concerning utilization of laboratory tests and radiology procedures during that period and for the same days 2 weeks before and after the strike. During the strike period, the number of tests performed per patient day decreased by only 8.3%. After accounting for proportional changes in emergency and nonemergency admissions, there was no significant change in the number of tests or relative value units performed per patient day as a result of the strike. These results suggest that the volume of tests performed in teaching hospitals is more likely related to the case mix and severity of illness of patients admitted to these institutions than to a pure "teaching effect."

Family medicine · House staff · Emergency and Acute Care Studies · Emergency Medicine · Healthcare Quality and Management · Medicine · Occupational Health and Safety Research

Tools

Open DOISci-Hub