A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 96
- 试验地点
- 2
- 主要终点
- Total Cost
研究概览
简要总结
OBJECTIVE: To test a brief intervention designed to improve the cost-effectiveness of care provided by medicine housestaff for hospitalized patients.
HYPOTHESIS: A brief intervention in which medicine residents receive itemized bills for recent patients cared for by them, followed by a discussion on approaches to reducing unnecessary inpatient costs, can result in significant cost reductions without adversely affecting patient outcomes.
详细描述
We designed a brief educational intervention with two primary objectives: 1) to increase awareness among residents about how their decisions impact the costs of inpatient medical care; and 2) to improve the cost-effectiveness of care provided by residents without adversely affecting patient outcomes. We hypothesized that a brief intervention in which residents receive bills for patients they recently cared for, followed by a discussion on approaches to reducing unnecessary inpatient costs, would reduce costs without adversely affecting patient outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Internal Medicine Residents on Inpatient Rotations at Brigham & Women's Hospital
排除标准
- •Having a team member who was in either the control group or intervention group in a prior round of this study.
结局指标
主要结局
Total Cost
时间窗: 2 weeks following educational intervention
Total hospital cost per admission for 2 weeks following the educational intervention.
Lab Cost
时间窗: 2 weeks following educational intervention
Total lab cost per admission for 2 weeks following the educational intervention.
Pharmacy Cost
时间窗: 2 weeks following educational intervention
Total pharmacy cost per admission for 2 weeks following the educational intervention.
Radiology Cost
时间窗: 2 weeks following educational intervention
Total radiology cost per admission for 2 weeks following the educational intervention.
次要结局
- length of stay(2 weeks after educational intervention)
- admission to an intensive care unit (ICU)(2 weeks after educational intervention)
- 30-day readmission(within 30 days after end of study period)
- 30-day mortality(within 30 days after end of study period)