The prescription for health cost control: Increased dose of cost consciousness in Saudi public sector physicians

Saudi Medical Journal

Volumn 17, Issue 3, 1996, Pages 272-280

  Umeh, Joseph Chukwuemeka ^a  

^a MINISTRY OF HEALTH   (Saudi Arabia)

Author keywords

Ancillary services; Behavioral change; Cost consciousness; Cost containment; Laboratory tests; Physicians habits; Service costs; Unnecessary services

Indexed keywords

EID: 0012449741     PISSN: 03795284     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Levinsky NG. The Doctor's Master. New England Journal of Medicine 1984; 311: 1573-1575.
2. Boyle JF. Should we learn to say no? Journal of American Medical Association (JAMA) 1984; 252: 782-784
3. Eisenberg JM, Williams SV. Cost containment and changing physician practice behaviour: Can the fox learn to guard the chicken coop? JAMA 1981; 246. 2195-2201.
4. Greene HL, Goldberg RJ, Beattie H, Russo AR, Ellison RT, Dalen JE. Physicians attitude towards cost containment: The missing piece of puzzle. Arch. Internal Medicine 1989; 149: 1966-1968
5. Schroeder SA, Myers LP, McPhee SJ The failure of physician education as a cost containment strategy. JAMA 1984; 252: 225-230.
6. Martin AR, Woolf M, Thibodeau LA, Dzau V, Braunwald E, A trial of two strategies to modify the test ordering behaviour of medical residents. New England Journal of Medicine 1980; 303. 1330-1336.
7. Eisenberg JM, Goldfarb S. Clinical usefulness of measuring prothrombin time as a routine admission test. Clinical Chemistry. 1976; 22:1644-1647.
8. Griner PE, Liptzin B. Use of the laboratory in a teaching hospital: implications for patient care, education, and hospital costs. Annals of Internal medicine 1971; 75: 157-163.
9. Williams SV, Eisenberg JM, Kitz Ds, et al. Teaching cost-effective diagnostic test use to medical students. Medical Care 1984; 22: 535-542.
10. Schroeder SA, Martin AR. Will changing how physicians order tests reduce medical costs? Annals of Internal Medicine 1981; 94: 534-535
11. Eisenberg JM. An Educational program to modify laboratory use by house staff. Journal of Medical Education 1977; 52: 578-581.
12. Schroeder SA, Kenders K, Cooper JK, Piemme TE. Use of laboratory tests and pharmaceuticals: variations among physicians and effect of cost audit on subsequent use JAMA 1973; 225: 969-973.
13. A Marcia. Cost containment and the physician. JAMA 1985; 254: 1203-1207.
14. Shapiro MR Hatch RL, Greenfield S. Cost containment and labor-intensive tests: The case of the leukocyte differential count. JAMA 1984; 252: 231-234.
15. Hillman BJ, Joseph CA, Marby MR, Sunshine JH, Kennedy SD, Noether M. Frequency and costs of diagnostic imaging in office practice. A comparison of self-referring and radiologist-referring physicians. New England Journal of Medicine 1990; 323 1604-1608.
16. Mozes B, Kats A, Halkin H, Schiff E, Modan B. "Reduction of redundant hospital stay through controlled intervention". The Lancet 1987; 968-969.
17. Stelte JB. Cost consciousness as a condition of cost containment in hospital. Hospital and Health Services Review 1979; 74: 52-54.
18. Bawazir, Saleh A. Prescription patterns of ambulatory care physicians in Saudi Arabia. Annals of Saudi Medicine 1993; 13: 172-177.
19. Abrams HL. The overutilization of X-rays. N Engl J Med 1979; 300: 1213-1216.
20. Hardison JE. Sounding board: To be complete. N Engl J Med 1979; 300-193-194.
21. Thomas DR, David KM. Physicians awareness of cost under prospective reimbursement systems. Med Care 1987; 25: 181-184.
22. Lanford JL. Concepts in cost containment. The Saudi experience. Annals of Saudi Medicine 1990; 10: 363A.
23. Robertson WO. Costs of diagnostic tests. Estimates by health professionals. Med Care 1980; 18: 556-559.
24. Kirchner, M. Can doctors truly do much about hospital costs? Oradel New Jersey, Medical Economics Company. 1978
25. Eisenberg JM. An educational program to modify laboratory use by house staff. J Med Educ 1977; 52: 578-581.
26. Freeborn DK. Determinants of medical care utilization: Physicians use of laboratory services. Am J Public Health 1972; 62. 846-853.
27. McPhee SJ, Chapman SA, Myers LP, Schroeder SA, Leong JK. Lessons for teaching cost containment. J Med Educ 1984; 59: 722-729
28. Lyle CB, Bianch RF, Harris JH, Wood ZL. Teaching cost containment to house officer at Charlotte Memorial Hospital. J Med Educ 1979; 54: 856-862.
29. Wennberg JE, Blowers L, Parker R. Changes in tonsillectomy rates associated with feedback and review. Pediatrics 1977, 59: 821-826.
30. Dyke FJ, Murphy FA. Effect of surveillance on the number of hysterectomies in the province of Saskatchewan. N Engl J Med 1977; 296: 1326-1328.
31. Tierney W.M, Miller ME, McDonald CJ. The effect on test ordering of informing physicians of the charges for out-patient diagnostic tests N Engl J Med 1990; 322: 1499-1504.
32. Pugh JA, Frazier LM, DeLong E, Wallace AG, Ellenbogen P, Linfors E. Effect of daily charge feedback on inpatient charges and physician knowledge and behavior. Arch Internal Medicine 1989; 149: 426-429.
33. Kongstvedi PR, Edited, The Managed Health Care Handbook, Maryland (Aspen Publishers Inc.) 1989; 85-96.
34. Feldstein PJ. Health Care Economics, New York (John Wiley and Sons), 1983: 85.
35. Starr, P. The logic of health care reform: Why and how the President's plan will work. New York (Penguin Books) 1994: 32-33.
36. Robinson JC, Luft HS. Competition and the cost of hospital care, 1972 to 1982. JAMA 1987; 257: 3241-3245.
37. Bianco JL, Johanet, G, Portos JL, Vincent, G. The French Experience in National Health Service Management. Symposium, Institute of Public Administration. Riyadh, March 19, 1995.