Surgeon Awareness of Operating Room Supply Costs

被引:59
|
作者
Jackson, Christopher R. [1 ]
Eavey, Roland D. [1 ]
Francis, David O. [1 ,2 ,3 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Otolaryngol, Bill Wilkerson Ctr Otolaryngol & Commun Disorders, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Otolaryngol, Vanderbilt Voice Ctr, Nashville, TN 37232 USA
[3] Vanderbilt Univ, Bill Wilkerson Ctr Otolaryngol & Commun Disorders, Ctr Surg Qual & Outcomes Res, Dept Otolaryngol,Inst Med & Publ Hlth,Med Ctr, Nashville, TN 37232 USA
来源
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 2016年 / 125卷 / 05期
关键词
outcome studies; surgical education; cost awareness; operating room costs; KNOWLEDGE; TRENDS;
D O I
10.1177/0003489415614864
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: The extent to which surgeons understand costs associated with expensive operative procedures remains unclear. The goal of the study was to better understand surgeon cost awareness of operating room supplies and implants. Methods: This was a cross-sectional study of faculty (n = 24) and trainees (fellow and residents, n = 27) in the Department of Otolaryngology. Participants completed surveys to assess opinions on importance of cost and ease in accessing cost data and were asked to estimate the costs of operating room (OR) supplies and implants. Estimates within 20% of actual cost were considered correct. Analyses were stratified into faculty and trainee surgeons. Results: Cost estimates varied widely, with a low percentage of correct estimations (25% for faculty, 12% for trainees). Surgeons tended to underestimate the cost of high-cost items (55%) and overestimate the cost of low-cost items (77%). Attending surgeons were more accurate at correctly estimating costs within their own subspecialty (33% vs 16%, P < .001). Self-rated cost knowledge and years in practice did not correlate with cost accuracy (P < .05). Conclusions: A majority of surgeons were unable to correctly estimate the costs of items/implants used in their OR. An opportunity exists to improve the mechanisms by which cost data are fed back to physicians to help promote value-based decision making.
引用
收藏
页码:369 / 377
页数:9
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