Doctors' knowledge of the costs of medical care.

Abstract:

:In achieving a more effective use of resources in the National Health Service (NHS), the medical profession has a role to play by improving cost efficiency in clinical practice. This role implies that doctors should have some knowledge of medical costs. In order to determine the extent of this knowledge, sixty-seven hospital clinicians, seventy-four general practitioners and a control group of novice clinical students completed a multiple choice questionnaire concerned with the costs of medical care. The doctors' knowledge of costs was poor and only marginally better than that of the students. The average number of correct responses obtained to twenty questions was 6.2 by the hospital clinicians, 5.5 by the general practitioners and 4.7 by the students. Performance on questions on overall NHS costs was better (P less than 0.01) than that achieved on questions on diagnostic costs, therapeutic costs and hospital costs. Knowledge of the costs of some commonly prescribed drugs, such as digoxin and ampicillin, was minimal. Ignorance of the financial consequences of clinical decisions may hamper attempts to improve the cost efficiency of medical practice.

journal_name

Med Educ

journal_title

Medical education

authors

Fowkes FG

doi

10.1111/j.1365-2923.1985.tb01150.x

subject

Has Abstract

pub_date

1985-03-01 00:00:00

pages

113-7

issue

2

eissn

0308-0110

issn

1365-2923

journal_volume

19

pub_type

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