Survey Management of Residents’ Awareness of the Cost of Hospital Paraclinical Measures
Jahanbakhsh Pourahangarian1, Babak Masoumi2 , Amir Masoud Hashemian3, Farahnaz Bidari Zerepoosh4 and Hojjat Derakhshanfar4*1Department of Educational Research, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
2Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
3Department of Emergency Medicine, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4Shahid Beheshti University of Medical Sciences , Tehran , Iran
Abstract: Physicians’roleinreducinghealth care costsisobvious andundeniable. Therefore, the current studyseeks toSurvey management of residents’ awareness of the cost of hospital paraclinical measures. This studyused avalid and reliablequestionnaire to evaluate the residents’ awareness regarding thecost of tests,including CBC, ESR, U/A,troponin, chest radiography, ultrasound of abdomenand pelvis,CT scan of head.Any estimate in the range of25% ofactual pricewas considered as the correctestimate. Data was analyzed usingt-test,chi-square anddrawing Box Plot. Significancelevel was determined p< 0.05. 90residents(54.4% male) were studied. With the exception ofchest radiography(48/0 = p),averagecostsestimated byresidents in the diagnostic tests of CBC (p<0.0001), ESR (p<0.0001), UA (p<0.0001),troponin(p=0.004),ultrasound(p=0.01)and CTscan ofhead(p<0.0001) differed from theactual price. Also, theaverageerrorinestimating thecosts ofCBC, ESR, UA,troponin, chest radiography, ultrasoundand CTscan ofheadwas 243.6%, 798.2%, 229.8%, 22.3%, 5.7%, 35.1% and 56.1%,respectively.On average, only 24.3%of residentswere awareof thereal cost oflaboratoryfees. The resultsshowed that the management level information of assistantsof internalmedicine, surgery,pediatrics, obstetricsandemergency medicineaboutthe cost of paraclinicalmeasuresis low and the level of education regardingawarenessof these costsis inadequate.
Keywords: Medical Expenses; DiagnosticTests; Residents’ Estimates Back to TOC