ArticleJournal of graduate medical education2011
Internal medicine physicians' knowledge of health care charges.
Article in Journal of graduate medical education, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 50 citations in OpenAlex.
- The Effectiveness of Cost Reduction with Charge Displays on Test Ordering under the Health Insurance System in Japan: A Study Using Paper-based Simulated Cases for Residents and Clinical Fellows.Internal medicine (Tokyo, Japan) · 2019Trial
- Effect of clinical decision rules, patient cost and malpractice information on clinician brain CT image ordering: a randomized controlled trial.BMC medical informatics and decision making · 2018Trial
- Orthopedic and Trauma Physicians' Ability to Identify Selected SUT Reimbursement Amounts in Türkiye: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Utilizing Kern's Six-Step Approach to Develop a Novel Curriculum for Enhancing Pediatric Resident Understanding of Health Care Costs.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Cost health literacy as a physician skill-set: the relationship between oncologist reported knowledge and engagement with patients on financial toxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Patterns of Electrolyte Testing at Children's Hospitals for Common Inpatient Diagnoses.Pediatrics · 2019Article
- Cost of open and laparoscopic distal gastrectomy: surgeon perceptions versus the reality of hospital spending.Canadian journal of surgery. Journal canadien de chirurgie · 2018Article
- A Faculty Development Workshop for High-Value Care Education Across Clinical Settings.MedEdPORTAL : the journal of teaching and learning resources · 2018Article
- Teaching High-Value Care in Pediatrics: A National Survey of Current Practices and Guide for Future Curriculum Development.Journal of graduate medical education · 2017Article
- Pharmacists' Knowledge of the Cost of Laboratory Testing.Hospital pharmacy · 2017Article
- Can Emergency Medicine Residents Predict Cost of Diagnostic Testing?The western journal of emergency medicine · 2017Article
- Nationwide variation in outcomes and cost of laparoscopic procedures.Surgical endoscopy · 2016Article
- Cutting the Cost of Health Care: The Physician's Role.Texas Heart Institute journal · 2016Article
- House Officer-Driven Reduction in Laboratory Utilization.Southern medical journal · 2016Article
- Portuguese Family Physicians' Awareness of Diagnostic and Laboratory Test Costs: A Cross-Sectional Study.PloS one · 2015Article
- Article
- Leveraging insights from behavioral economics to increase the value of health-care service provision.Journal of general internal medicine · 2012Review
- Teaching of Cost-Effective Care in Orthopaedic Surgery Residency Training: A Survey of Residency Programs in the US.JB & JS open accessReview
- Financial Impact of Incentive Spirometry.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundConcerns over the rising costs of health care have increased interest in educating residents about the cost impact of medical decisions. While many programs educate residents about the effectiveness of care, little is known about how well residents and faculty know charges of diagnostic tests or both groups' interest in this topic.
methodsWe surveyed internal medicine residents and faculty at an academic tertiary care hospital. Both groups rated their agreement with a series of statements about health care charges on a Likert scale of 1 (strongly disagree) to 9 (strongly agree), and they estimated the charges for 15 commonly ordered diagnostic tests. Estimates within 25% of the true charge were considered correct. The Wilcoxon rank sum test was used to compare responses between residents and faculty.
resultsSeventy of 126 eligible participants (56%) returned surveys. Participants showed poor knowledge of health care charges but expressed a desire to learn more. Physicians also felt that cost-effectiveness should be considered when ordering diagnostic tests, although faculty members felt more strongly about this than did residents. In estimating the charges for diagnostic tests, less than a quarter of all responses were within 25% of the true charge.
conclusionsInternal medicine physicians poorly estimate the charges for diagnostic tests but have a strong desire to improve their knowledge, suggesting a possible intervention to improve the cost-effectiveness of medical care.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.