The effect of price information on test-ordering behavior and patient outcomes in a pediatric emergency department

Pediatrics

Volumn 103, Issue 4 II, 1999, Pages 877-882

  Hampers, Louis C ^a   Cha, Susie ^a   Gutglass, David J ^a   Krug, Steven E ^a   Binns, Helen J ^a  

^a CHILDREN'S MEMORIAL HOSPITAL   (United States)

Author keywords

Charges; Outcomes; Price information; Test ordering

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; DIAGNOSTIC APPROACH ROUTE; DIARRHEA; EMERGENCY HEALTH SERVICE; FEEDING DISORDER; HEALTH CARE COST; HUMAN; MEDICAL DECISION MAKING; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; VOMITING;

ADOLESCENT; ADULT; ANALYSIS OF VARIANCE; CHICAGO; CHILD; CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; FOLLOW-UP STUDIES; HOSPITAL CHARGES; HUMANS; ILLINOIS; INFANT; INFORMATION SERVICES; LABORATORY TECHNIQUES AND PROCEDURES; MULTIVARIATE ANALYSIS; PEDIATRICS; PHYSICIAN'S PRACTICE PATTERNS; PROSPECTIVE STUDIES; QUALITY OF HEALTH CARE; TREATMENT OUTCOME; TRIAGE; UNNECESSARY PROCEDURES;

EID: 0033030266     PISSN: 00314005     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Cameron JM. The indirect costs of graduate medical education. N Engl J Med. 1985;312:1233-1238
2. Grossman RM. A review of physician cost-containment strategies for laboratory testing. Med Care. 1983;21:783-802
3. Grumbach K, Bodenheimer T. Painful vs painless cost control. JAMA. 1994;272:1458-1464
4. Shapiro MF, Hatch RL, Greenfield S. Cost containment and labor-intensive tests: the case of the leukocyte differential count. JAMA. 1984;252:231-234
5. Cummings KM, Frisof KB, Long MJ, Hrynkiewich G. The effects of price information on physicians' test ordering behavior. Med Care. 1982;20:293-301
6. Long MJ, Cummings KM, Frisof KB. The role of perceived price in physicians' demand for diagnostic tests. Med Care. 1983;21:243-250
7. 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 Intern Med. 1989;149:426-429
8. Sachdeva RC, Jefferson LS, Coss-Bu J, et al. Effects of availability of patient-related charges on practice patterns and cost containment in the pediatric intensive care unit. Crit Care Med. 1996;24:501-506
9. Blackstone ME, Miller RS, Hodgson AJ, Cooper SS, Blackhurst DW, Stein MA. Lowering hospital charges in the trauma intensive care unit while maintaining quality of care by increasing resident and attending physician awareness. J Trauma. 1995;39:1041-1044
10. McCarthy PL, Lembo RM, Baron MA, Fink HD, Cicchetti DV. Predictive value of abnormal physical examination findings in ill-appearing and well-appearing febrile children. Pediatrics. 1985;76:167-171
11. Grumbach K, Bodenheimer T. Mechanisms for controlling costs. JAMA. 1995;273:1223-1230
12. Berwick DM, Coltin KL. Feedback reduces test use in a health maintenance organization. JAMA. 1986;255:1450-1454
13. Greco PJ, Eisenberg JM. Changing physician practices. N Engl J Med. 1996;329:1271-1274
14. Wong ET, McCarron MM, Shaw ST. Ordering of laboratory tests in a teaching hospital: can it be improved? JAMA. 1983;249:3076-3080
15. Gulson DG, Binns HJ. Physician cost awareness - or lack thereof. Arch Pediatr Adolesc Med. 1995;149:98. Abstract
16. Lyle CB, Bianchi RF, Harris JH, Wood ZL. Teaching cost containment to house officers at Charlotte Memorial Hospital. J Med Educ. 1979; 54:856-862
17. Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA. 1995;274:700-705
18. Martin AR, Wolf MA, Thibodeau LA, Dzau V, Braunwald E. A trial of two strategies to modify the test-ordering behavior of medical residents. N Engl J Med. 1980;303:1330-1336
19. Manheim LM, Feinglass J, Hughes R, Martin GJ, Conrad K, Hughes EFX. Training house officers to be cost conscious: effects of an educational intervention on charges and length of stay. Med Care. 1990; 28:29-42
20. Bates DW, Kuperman GJ, Jha A, et al. Does the computerized display of charges affect inpatient ancillary test utilization? Arch Intern Med. 1997;157:2501-2508
21. Cohen DI, Jones P, Littenberg B, Neuhauser D. Does cost information availability reduce physician test usage? A randomized clinical trial with unexpected findings. Med Care. 1982;20:286-291
22. Griner PF, Liptzin B. Use of laboratory in a teaching hospital: implications for patient care, education, and hospital costs. Ann Intern Med. 1971;75:157-163
23. Tierney WM, Miller ME, McDonald CJ. The effect on test ordering of informing physicians of the charges for outpatient diagnostic tests. N Engl J Med. 1990;322:1499-1504
24. Scholer SJ, Pituch K, Orr DP, Clark D, Dittus RS. Effect of health care system factors on test ordering. Arch Pediatr Adolesc Med. 1996;150: 1154-1159
25. McGillivray DL, Roberts-Brauer R, Kramer MS. Diagnostic test ordering in the evaluation of febrile children: physician and environmental factors. Am J Dis Child. 1993;147:870-874
26. Boice JL, McGregor M. Effect of residents' use of laboratory tests on hospital costs. J Med Educ. 1983;58:61-64
27. Detsky AS, McLaughlin JR, Abrams HB, L'Abbe K, Markel FM. Do interns and residents order more tests than attending staff? Med Care. 1986;24:526-534
28. McNamara RM, Kelly JJ. Cost of care in the emergency department: impact of an emergency medicine residency program. Ann Emerg Med. 1992;21:956-962
29. Sexton JD, Heller MB, Patterson JD, Pronchik D, Melanson SW. Impact of emergency medicine residents on ancillary test utilization. Am J Emerg Med. 1998;16:245-248
30. Rich EC, Hillson SD, Dowd B, Morris N. Specialty differences in the "July Phenomenon" for Twin Cities teaching hospitals. Med Care. 1993;31:73-83
31. Cairns CB, Garrison HG, Hedges JR, Schriger DL, Valenzuela TD. Development of new methods to assess the outcomes of emergency care. Ann Emerg Med. 1998;31:166-171
32. Eisenberg JM. An educational program to modify laboratory use by house staff. J Med Educ. 1977;52:578-581