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OpenTrials
Completed

NCT Number: NCT01883778

Evaluating Patient and Physician Cost Knowledge in the Emergency Department

The purpose of this study is to identify existing cost knowledge of Emergency Medicine (EM) physicians and patients and investigates its reported impacts on medical compliance. A cross-sectional survey will be administered electronically to Emergency Medicine physicians at the University of Utah Hospital and the Emergency Physician Integrated Care, LLC (EPIC) who staff ten-community hospital Emergency Departments (ED) in order to investigate physician knowledge and attitudes regarding cost and perceived patient compliance. In addition, a cross-sectional survey will be administered to a convenience sample of patients presenting to the University of Utah Emergency Department to obtain information about their cost knowledge and reported compliance. All ED patients will complete a follow-up phone survey to measure compliance with recommendations made during the ED visits. Following administration of the baseline survey physicians will be provided the prices of the test and procedures and will be re-surveyed 30-days later as a post intervention test to measure changes in knowledge and attitudes.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Utah

Salt Lake City, Utah, 84132, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patient Population:

  • 18 years old or older
  • Deemed psychologically and medically stable by the ED care provide
  • Speak English

Exclusion criteria

Patient Population:

  • Prisoner
  • Brought to Emergency Department by Emergency Medical Service

Inclusion criteria

Physician Population:

  • Employed in target medical practices

Exclusion criteria

Physician Population:

  • none

Treatment and study plan

Primary outcomes

  1. Proportion of emergency medicine physician with accurate (+/- 25% of actual cost) cost knowledge of common medical services; influence on testing and prescribing patterns.

    Time frame: 1 year

    Measure the extent of formal education regarding cost of medical services that physicians in the survey population have received and how that impacts knowledge and accuracy; perceived impact on medical compliance among patients.

Secondary outcomes

  1. Proportion of emergency department patients with accurate (+/- 25% actual costs) knowledge of medical service cost; correlation between health literacy and cost knowledge accuracy in patients.

    Time frame: 1 year

    Measure patient health literacy using the REALM-SF (AHRQ) and determine any correlation with cost estimation accuracy and reported impact on medical compliance among patients.

Other outcomes

  1. Efficacy of intervention to improving accuracy in cost estimation in emergency physicians.

    Time frame: 1 year

    Changes in self-reported cost knowledge competency and cost estimation accuracy using the intervention comparing the baseline report at time of enrollment to 30 days post intervention.

Sponsors and collaborators

Lead sponsor

University of Utah

Other

Registry information

Official study title

Do Providers and Consumers Know the Cost of Common Tests and Procedures Delivered in the Emergency Department?

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Jun 21, 2013
Registry last updated
Dec 26, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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