Orthopaedic surgery residents report little subjective or objective familiarity with healthcare costs.
Eur J Orthop Surg Traumatol
; 33(8): 3475-3481, 2023 Dec.
Article
in En
| MEDLINE
| ID: mdl-37195307
ABSTRACT
PURPOSE:
Residents have limited education regarding the cost of orthopaedic interventions. Orthopaedic residents' knowledge was surveyed in three scenarios involving an intertrochanteric femur fracture 1) uncomplicated course with 2-day hospital stay; 2) complicated course necessitating ICU admission; and 3) readmission for pulmonary embolism management.METHODS:
From 2018 to 2020, 69 orthopaedic surgery residents were surveyed. Respondents estimated hospital charges and collections; professional charges and collections; implant cost; and level of knowledge depending on the scenario.RESULTS:
Most residents (83.6%) reported feeling "not knowledgeable". Respondents reporting "somewhat knowledgeable" did not perform better than those who reported "not knowledgeable". In the uncomplicated scenario, residents underestimated hospital charges and collections (p < 0.01; p = 0.87), and overestimated hospital charges and collections and professional collections (all p < 0.01) with an average percent error of 57.2%. Most residents (88.4%) were aware the sliding hip screw construct costs less than a cephalomedullary nail. In the complex scenario, while residents underestimated the hospital charges (p < 0.01), the estimated collections were closer to the actual figure (p = 0.16). In the third scenario, residents overestimated the charges and collections (p = 0.04; p = 0.04).CONCLUSIONS:
Orthopaedic surgery residents receive little education regarding healthcare economics and feel unknowledgeable therefore a role for formal economic education during orthopaedic residency may exist.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Orthopedics
/
Orthopedic Procedures
/
Internship and Residency
Type of study:
Health_economic_evaluation
Limits:
Humans
Language:
En
Journal:
Eur J Orthop Surg Traumatol
Year:
2023
Type:
Article
Affiliation country:
United States