Cost awareness among doctors in an Irish university-affiliated teaching hospital

  • William H.C. Tiong | willhct@yahoo.com Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.
  • Michael O'Shaughnessy Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.
  • Sean T. O'Sullivan Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.

Abstract

Previous studies in USA and Canada have found that physicians and physicians in training have a limited understanding of medical care costs. In this study, we set out to survey all grades of doctors in the surgical department, emergency department, and anaesthetic department in a university-affiliated, Irish teaching hospital. Open-ended questionnaires on cost of 25 routinely used items in the hospital were sent to each department. The aims of the study were to assess the present knowledge of cost among the various grades of doctors, and to evaluate the level of professional experience on cost awareness and their confidence in their estimates. We had an overall response rate of 56.8% with 68.5% of doctors admitted to have estimated more than 90% of their responses. Ninety three percent of doctors have no confidence in their estimates on cost of listed items. We found that the lack of cost awareness was universal among doctors of all grades (P = 0.236). The doctors in our study population showed a high level of inaccuracy on their estimates of cost of routinely used items with 84% of the items overestimated. Our results were discouraging and demonstrated that considerable educational activity will be necessary if doctors are to be more cost effective in meeting the national health care budget.

Downloads

Download data is not yet available.

Author Biographies

William H.C. Tiong, Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork
Registrar in Plastic Surgery
Michael O'Shaughnessy, Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork
Consultant Plastic Surgeon
Sean T. O'Sullivan, Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork
Consultant Plastic Surgeon
Published
2011-11-02
Section
Articles
Keywords:
cost awareness, doctors, healthcare.
Statistics
Abstract views: 781

PDF: 149
HTML: 120
Share it

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

How to Cite
Tiong, W., O’Shaughnessy, M., & O’Sullivan, S. (2011). Cost awareness among doctors in an Irish university-affiliated teaching hospital. Clinics and Practice, 1(4), e91. https://doi.org/10.4081/cp.2011.e91