Cost Perception of Cardiological Procedures Among -Medical Students and Doctors in Switzerland.

Q4 Medicine
Praxis Pub Date : 2024-05-01 DOI:10.23785/PRAXIS.2024.05.003
Alan Müller, Roger Melliger, Patric Biaggi, Luca Oechslin, Christophe Wyss
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Abstract

Introduction: Aims: The aim of the present study was to analyze the cost awareness of cardiological tests and procedures among medical students, residents and doctors in Switzerland and discuss trends in cost perception in health expenditures. Methods: Using an online questionnaire, participants (randomly recruited by mailing lists, messaging app or via direct contact) had to estimate the costs of the 13 predefined cardiological procedures services, diagnostic tests and procedures in Swiss Francs (CHF). Short technical descriptions of the procedures and tests were provided. Estimated costs were considered accurate if they were within ±25 % of the reimbursement rate. Participant groups were defined: medical students, residents, hospital-based physicians and cardiologists in private practice (practitioners). Results: A total of 939 participants (172 physicians and 767 medical students) were enrolled. The overall proportion of medical gestures estimated correctly within ±25% of the reimbursement rate ranged from 10 % (students) to 55 % in practitioners. Residents (26 %) and hospital-based physicians (38 %) performed intermediately. In general, the costs were overestimated. Conclusions: The level of cost knowledge of cardiological tests and procedures among medical students, residents and doctors in Switzerland is modest. In general, the costs were overestimated. Increasing experience seems to sharpen the accuracy of cost estimation. Overestimation of costs is potentially problematic: Either in systems of governmental defined global budget or systems with substantial out-of-pocket costs for patients, overestimated costs will result in more restrictive ordering than it would be appropriate and affordable for the individual patient.

瑞士医学生和医生对心脏病治疗费用的看法。
简介:目的:本研究旨在分析瑞士医科学生、住院医师和医生对心脏病检查和治疗费用的认识,并讨论医疗支出中的费用趋势:目的:本研究旨在分析瑞士医科学生、住院医师和医生对心脏病检查和治疗费用的认识,并讨论医疗支出中费用认识的趋势。研究方法通过在线问卷调查,参与者(通过邮件列表、信息应用程序或直接联系等方式随机招募)必须以瑞士法郎(CHF)估算 13 项预定义心脏病治疗服务、诊断检测和手术的成本。我们提供了有关程序和检查的简短技术说明。如果估算费用在报销比例的±25%以内,则认为估算准确。参与群体包括医学生、住院医师、医院医生和私人执业的心脏病医生(从业者)。结果:共有 939 名参与者(172 名医生和 767 名医学生)参加了研究。在报销率的±25%范围内正确估计医疗手势的总比例从10%(学生)到55%(从业人员)不等。住院医生(26%)和医院医生(38%)的手势不准确。总的来说,费用被高估了。结论:瑞士医科学生、住院医师和医生对心脏病检查和手术的成本了解程度不高。总体而言,成本被高估了。经验的增加似乎会提高成本估算的准确性。高估成本可能会带来问题:无论是在政府确定的全球预算系统中,还是在患者需要自付大量费用的系统中,高估的费用都会导致下医嘱时受到更多限制,而这对患者个人来说是不合适的,也是负担不起的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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