School of Medicine and Health Sciences Poster Presentations
Poster Number
165
Document Type
Poster
Publication Date
3-2016
Abstract
Objectives: Costs of care are increasingly important in healthcare policy and, more recently, clinical care in the Emergency Department (ED). We compare ED resident and patient perceptions surrounding the costs of emergency care, compliance, communication, and education.
Methods: We conducted a mixed methods study using surveys and qualitative interviews in a single, urban academic ED. The first study population was a convenience sample of adult patients (>17 years of age), and the second was ED residents training at the same institution. Participants answered open- and closed-ended questions on costs, cost-related compliance, and communication. Residents answered additional questions on residency education on costs of care. Closed-ended data were tabulated and described using standard statistics while open-ended responses were analyzed using grounded theory.
Results: Thirty ED patients and 24 ED residents participated in the study. Both ED patients and residents felt neutral regarding the importance of cost discussions and generally did not have knowledge of medical costs. Patients were comfortable discussing costs while residents were less comfortable. Additionally, some patients had cost concerns restricting compliance with treatment. Limitations to discussing costs included lack of time and perceived irrelevance. Generally, ED residents took costs into consideration during clinical decision-making, most commonly because of a feeling of personal responsibility to control healthcare costs. Nearly all ED residents agreed they had too little education regarding costs, and the most common suggestion for enhancing education was inclusion of price lists.
Conclusions: There were several notable differences in patient and resident perspectives on cost discussions in the ED in this sample. While patients do not see cost discussions to be important, they are generally comfortable discussing costs yet do not report having sufficient knowledge on what care costs. ED residents think costs are important, but are less comfortable discussing them, primarily because they lack education on medical costs.
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Open Access
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Included in
Emergency Medicine Commons, Health and Medical Administration Commons, Medical Education Commons
Comparing Emergency Department Resident and Patient Perspectives on Costs in Emergency Care
Objectives: Costs of care are increasingly important in healthcare policy and, more recently, clinical care in the Emergency Department (ED). We compare ED resident and patient perceptions surrounding the costs of emergency care, compliance, communication, and education.
Methods: We conducted a mixed methods study using surveys and qualitative interviews in a single, urban academic ED. The first study population was a convenience sample of adult patients (>17 years of age), and the second was ED residents training at the same institution. Participants answered open- and closed-ended questions on costs, cost-related compliance, and communication. Residents answered additional questions on residency education on costs of care. Closed-ended data were tabulated and described using standard statistics while open-ended responses were analyzed using grounded theory.
Results: Thirty ED patients and 24 ED residents participated in the study. Both ED patients and residents felt neutral regarding the importance of cost discussions and generally did not have knowledge of medical costs. Patients were comfortable discussing costs while residents were less comfortable. Additionally, some patients had cost concerns restricting compliance with treatment. Limitations to discussing costs included lack of time and perceived irrelevance. Generally, ED residents took costs into consideration during clinical decision-making, most commonly because of a feeling of personal responsibility to control healthcare costs. Nearly all ED residents agreed they had too little education regarding costs, and the most common suggestion for enhancing education was inclusion of price lists.
Conclusions: There were several notable differences in patient and resident perspectives on cost discussions in the ED in this sample. While patients do not see cost discussions to be important, they are generally comfortable discussing costs yet do not report having sufficient knowledge on what care costs. ED residents think costs are important, but are less comfortable discussing them, primarily because they lack education on medical costs.
Comments
Presented at: GW Research Days 2016