Document Detail


Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure.
MedLine Citation:
PMID:  22272854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We aimed to ascertain the efficacy of an intervention in which laboratory test costs were provided to clinicians as a pocket-sized brochure, in reducing laboratory test costs over a 4-month period.
METHODS: This was a non-randomised intervention study in the Internal Medicine wards at Steve Biko Academic Hospital, Pretoria, in which the intervention was laboratory test costs provided to clinicians as a pocket-sized brochure. The intervention period was the winter months of May - August 2008 and the pre-intervention period was the same months of the preceding year. In the two 4-month periods (2007 and 2008), the number of days in hospital and the laboratory tests ordered were computed for each patient admitted. For the intervention and control groups, pre- and post-intervention cost and days in hospital were estimated.
RESULTS: The mean cost per patient admitted in the intervention group decreased from R2 864.09 to R2 097.47 - a 27% reduction. The mean cost per day in the intervention group as a whole also decreased, from R442.90 to R284.14 - a 36% reduction.
CONCLUSION: Displaying the charges for diagnostic tests on the laboratory request form may significantly reduce both the number and cost of tests ordered, and by doing so bring about considerable in-hospital cost savings.
Authors:
S Ellemdin; P Rheeder; P Soma
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2011-09-27
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  101     ISSN:  0038-2469     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2012-01-25     Completed Date:  2012-04-05     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  746-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Awareness*
Diagnostic Tests, Routine / economics*
Health Expenditures*
Hospital Charges*
Humans
Intervention Studies
Physicians*
South Africa
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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