+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Physician awareness of rehabilitation costs



Physician awareness of rehabilitation costs



American Journal of Physical Medicine and Rehabilitation 75(6): 416-421



Containment of health care costs is a pressing national issue. In this study, we examined physician knowledge of rehabilitation hospital costs by quantifying their awareness of hospital charges. All physicians at a free-standing rehabilitation hospital were surveyed. Approximately one-half of the physicians responded, including 19 attending and 17 resident physicians. The survey addressed three issues: physicians' estimate of the billing fee (hospital charge to the patient) for various items; how confident they were of the charge; and how frequently they ordered each item. The survey listed 65 items including diagnostic testing, drugs, therapies, and equipment. The average error in the charge estimates was quite large. For example, it was 52, 48, and 108% for hematologic tests, imaging studies, and pharmaceuticals, respectively. Charges were underestimated twice as often as they were overestimated. Physicians' confidence in their knowledge of these fees was quite low. They indicated that they were guessing 80 to 90% of the time, had an idea of the cost for 10 to 20% of the items, and were confident in their knowledge for less than 1% of the items. There were no significant correlations between accuracy of the charge estimates and ordering frequency, actual charge of the item, or experience level of the physicians.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046984692

Download citation: RISBibTeXText

PMID: 8985104


Related references

ALK1Fc Suppresses the Human Prostate Cancer Growth in in Vitro and in Vivo Preclinical Models. Frontiers in Cell and Developmental Biology 5: 104, 2017

Physician awareness of diagnostic and nondrug therapeutic costs: a systematic review. International Journal of Technology Assessment in Health Care 24(2): 158-165, 2008

A computer education program to improve physician awareness of rehabilitation hospital charges. Archives of Physical Medicine and Rehabilitation 79(8): 910-914, 1998

Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA 278(6): 502-509, 1997

Physician awareness of prescription drug costs: a missing element of drug advertising and promotion. Journal of Family Practice 36(1): 33-36, 1993

The use of defenses and physician health care costs: are physician health care costs lower in persons with more adaptive defense profiles?. PsychoTherapy and Psychosomatics 72(6): 315-323, 2003

Is Anyone Paying Attention to Physician Report Cards? The Impact of Increased Availability on Consumers' Awareness and Use of Physician Quality Information. Health Services Research 52(4): 1570-1589, 2017

Mobile health rehabilitation of malnourished children: organization, costs and results of rehabilitation at home with regular visits in small fixed groups to a nutrition rehabilitation unit in Embu, Eastern Province, Kenya. Mobile health rehabilitation of malnourished children: organization, costs and results of rehabilitation at home with regular visits in small fixed groups to a nutrition rehabilitation unit in Embu, Eastern Province, Kenya: 167, 1979

Physician income at-risk for the costs of patient care Results of a national physician survey. JGIM 14(Suppl. 2): 127, 1999

Study shows physician gatekeeping may help lower costs, but questions remain about physician and patient satisfaction. Findings Brief 2(3): 1-2, 1998

Physician opportunity costs in physician practice cost functions. Journal of Health Economics 17(2): 129-151, 1998

Indirect costs and time costs of (ambulatory) rehabilitation of mothers with psychosomatic disorders who have preschool children. Gesundheitswesen ) 62(8-9): 457-462, 2000

Physician and resistance fighter. Late rehabilitation for a courageous physician. MmwFortschrittederMedizin146(51-52):58, 2004

Studies on working time and costs for some types of afforestation and forest rehabilitation, and costs of producing planting stock. Ital. for. mont, 20: 1, 1-26, 1965

Outpatient orthopaedic rehabilitation: treatment, outcomes and costs as compared to inpatient rehabilitation. Die Rehabilitation 41(2-3): 148-159, 2002