The failure of physician education as a cost containment strategy. Report of a prospective controlled trial at a university hospital.
JAMA
; 252(2): 225-30, 1984 Jul 13.
Article
en En
| MEDLINE
| ID: mdl-6727021
ABSTRACT
To test the hypothesis that physician education is an effective strategy to reduce total hospital costs, we evaluated three educational interventions at a large university hospital. This prospective controlled study spanned two academic years and involved 1,663 patients and 226 house staff. In the first year, weekly lectures on cost containment (medicine and surgery) and audit with feedback (medicine only) both failed to produce a significant change in total hospital charges. The "dose" of the intervention was increased on medicine in the second year by combining the lecture and audit strategies. Again, total charges did not change significantly. While decreased use occurred for certain selected services, the impact was not great enough to affect total hospital charges significantly. We conclude that, in the absence of other cost containing incentives, physician education alone is not an effective hospital cost containment strategy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Asunto principal:
Hospitales de Enseñanza
/
Hospitales Universitarios
/
Cuerpo Médico de Hospitales
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
JAMA
Año:
1984
Tipo del documento:
Article