Training Residents in High-Value, Cost-Effective Care: a National Survey of Psychiatry Program Directors.
Acad Psychiatry
; 44(3): 324-329, 2020 Jun.
Article
en En
| MEDLINE
| ID: mdl-32212096
ABSTRACT
OBJECTIVE:
The goal of this study was to explore how prepared psychiatry programs are to teach residents to practice resource management and high-value, cost-effective care.METHODS:
An anonymous online survey was sent to 187 psychiatry training directors between July and September 2015.RESULTS:
Forty-four percent of training directors responded to the survey. While most training directors who responded (88%) agreed that that graduate medical education has a responsibility to respond to the rising cost of health care, fewer than half agreed that that their faculty members consistently model cost-effective care (48%), that residents have access to information regarding the cost of tests and procedures (32%), and that residents are prepared to integrate the cost of care with available evidence when making medical decisions (44%). Only 11% reported providing training in resource management. Barriers cited to teaching cost-effective care included a lack of information regarding health care costs (45%), a lack of time (24%), a lack of faculty with relevant skills (19%), and competing training demands and priorities (18%). Training directors also noted a lack of available curricular resources and assessment tools (21%). Another 12% cited concerns about cost containment overriding treatment guidelines. Ninety percent of training directors agreed that they would be interested in resources to help teach high-value, cost-effective care.CONCLUSIONS:
Most psychiatry programs do not provide formal training in resource management but are interested in resources to teach high-value, cost-effective care. Curricula for residents and faculty may help meet this need.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Psiquiatría
/
Análisis Costo-Beneficio
/
Internado y Residencia
/
Ejecutivos Médicos
Tipo de estudio:
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
/
Qualitative_research
Límite:
Humans
Idioma:
En
Revista:
Acad Psychiatry
Asunto de la revista:
PSIQUIATRIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos