Evaluating Patient and Physician Cost Knowledge in the Emergency Department

Economic Problems Clinical Trial

Official title:

Do Providers and Consumers Know the Cost of Common Tests and Procedures Delivered in the Emergency Department?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01883778
• Other study ID #: 00057136
• Status: Completed
• Phase: N/A
• First received: June 10, 2013
• Last updated: December 22, 2016
• Start date: August 2012
• Est. completion date: August 2013

Study information

• Verified date: December 2016
• Source: University of Utah
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to identify existing cost knowledge of Emergency Medicine (EM) physicians and patients and investigates its reported impacts on medical compliance. A cross-sectional survey will be administered electronically to Emergency Medicine physicians at the University of Utah Hospital and the Emergency Physician Integrated Care, LLC (EPIC) who staff ten-community hospital Emergency Departments (ED) in order to investigate physician knowledge and attitudes regarding cost and perceived patient compliance. In addition, a cross-sectional survey will be administered to a convenience sample of patients presenting to the University of Utah Emergency Department to obtain information about their cost knowledge and reported compliance. All ED patients will complete a follow-up phone survey to measure compliance with recommendations made during the ED visits. Following administration of the baseline survey physicians will be provided the prices of the test and procedures and will be re-surveyed 30-days later as a post intervention test to measure changes in knowledge and attitudes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 512
• Est. completion date: August 2013
• Est. primary completion date: August 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria Patient Population:

• 18 years old or older

• Deemed psychologically and medically stable by the ED care provide

• Speak English

Exclusion Criteria Patient Population:

• Prisoner

• Brought to Emergency Department by Emergency Medical Service

Inclusion Criteria Physician Population:

• Employed in target medical practices

Exclusion Criteria Physician Population:

Study Design

Observational Model: Cohort, Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Economic Problems
• Emergencies

Locations

Country	Name	City	State
United States	University of Utah	Salt Lake City	Utah

Sponsors (1)

Lead Sponsor	Collaborator
University of Utah

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Efficacy of intervention to improving accuracy in cost estimation in emergency physicians.	Changes in self-reported cost knowledge competency and cost estimation accuracy using the intervention comparing the baseline report at time of enrollment to 30 days post intervention.	1 year	No
Primary	Proportion of emergency medicine physician with accurate (+/- 25% of actual cost) cost knowledge of common medical services; influence on testing and prescribing patterns.	Measure the extent of formal education regarding cost of medical services that physicians in the survey population have received and how that impacts knowledge and accuracy; perceived impact on medical compliance among patients.	1 year	No
Secondary	Proportion of emergency department patients with accurate (+/- 25% actual costs) knowledge of medical service cost; correlation between health literacy and cost knowledge accuracy in patients.	Measure patient health literacy using the REALM-SF (AHRQ) and determine any correlation with cost estimation accuracy and reported impact on medical compliance among patients.	1 year	No