Economic ProblemsNCT01883778
Evaluating Patient and Physician Cost Knowledge in the Emergency Department
An observational study of Economic Problems, run by University of Utah at 1 site in United States.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Economic Problems
- How many people
- 512 participants
- Where
- 1 siteUnited States
- Study dates
- Aug 2012to Aug 2013
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: There will be two distinct study populations in this study. The first population will consist of physicians from Emergency Medicine. There are 51 Emergency Medicine physicians at the University of Utah (27 attending, 24 residents); there are 138 board-certified Emergency Medicine physicians in the EPIC group therefore a projected provider cohort of n=90 (about 50% of 189) is anticipated. The only exclusion criterion for physicians is they do not practice in one of the above-mentioned provider groups. The second population will consist of patients presenting to the University Utah Emergency Department who are determined by the attending physicians to be mentally and physically competent to complete the questionnaire (n=450). Included in this cohort are all English speaking patients who are eighteen years of age and older, who are deemed psychologically and medically stable by the ED care provider, are not prisoners, and were not brought in by EMS.
Who may be able to join
- 18 years old or older
- Deemed psychologically and medically stable by the ED care provide
- Speak English
- Employed in target medical practices
Who cannot join
- Prisoner
- Brought to Emergency Department by Emergency Medical Service
- none
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Do Providers and Consumers Know the Cost of Common Tests and Procedures Delivered 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.
- Conditions
- Economic Problems
- Keywords
- Attitudes of health personnel, Attitudes of patients, Medical compliance, Cost awareness, Cost analysis, Patient knowledge, Physician knowledge, Medical economics, Policy, Questionnaires, Health literacy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Emergency Department Patients | Not described | |
| Emergency Medicine Physicians | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of emergency medicine physician with accurate (+/- 25% of actual cost) cost knowledge of common medical services; influence on testing and prescribing patterns.
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.
Measured: 1 year
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.
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.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jun 2013 (estimated)
- Study startAug 2012
- Primary completionAug 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Economic ProblemsStudies of the same condition, open and under way.
- More trials run by University of UtahThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 512 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Utah
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Camille Hollifield, University of Utah
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01883778
- Sponsor's protocol ID
- 00057136
- Status last verified
- Dec 2016
- First submitted
- 10 Jun 2013
- Last updated
- 26 Dec 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Broadwater-Hollifield C, Gren LH, Porucznik CA, Youngquist ST, Sundwall DN, Madsen TE. Emergency physician knowledge of reimbursement rates associated with emergency medical care. Am J Emerg Med. 2014 Jun;32(6):498-506. doi: 10.1016/j.ajem.2014.01.044. Epub 2014 Feb 3.
PubMed 24657227
Study at a glance
From the registry record, last updated by the sponsor on 26 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Do Providers and Consumers Know the Cost of Common Tests and Procedures Delivered in the Emergency Department?
- ClinicalTrials.gov ID
- NCT01883778
- Acronym / sponsor ID
- 00057136
- Conditions
- Economic Problems
- Keywords
- Attitudes of health personnel, Attitudes of patients, Medical compliance, Cost awareness, Cost analysis, Patient knowledge, Physician knowledge, Medical economics
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 512 participants (actual)
- Lead sponsor
- University of UtahUniversity, hospital or other
- Study start
- Aug 2012
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 21 Jun 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Emergency Department Patients | – | – |
| Emergency Medicine Physicians | – | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- There will be two distinct study populations in this study. The first population will consist of physicians from Emergency Medicine. There are 51 Emergency Medicine physicians at the University of Utah (27 attending, 24 residents); there are 138 board-certified Emergency Medicine physicians in the EPIC group therefore a projected provider cohort of n=90 (about 50% of 189) is anticipated. The only exclusion criterion for physicians is they do not practice in one of the above-mentioned provider groups. The second population will consist of patients presenting to the University Utah Emergency Department who are determined by the attending physicians to be mentally and physically competent to complete the questionnaire (n=450). Included in this cohort are all English speaking patients who are eighteen years of age and older, who are deemed psychologically and medically stable by the ED care provider, are not prisoners, and were not brought in by EMS.
Key inclusion criteria (4 listed)
- 18 years old or older
- Deemed psychologically and medically stable by the ED care provide
- Speak English
- Employed in target medical practices
Key exclusion criteria (3 listed)
- Prisoner
- Brought to Emergency Department by Emergency Medical Service
- none
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
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.
1 secondary outcome
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
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Dec 2016.
- Derived from this study: PubMed 24657227Broadwater-Hollifield C, Gren LH, Porucznik CA, Youngquist ST, Sundwall DN, Madsen TE. Emergency physician knowledge of reimbursement rates associated with emergency medical care. Am J Emerg Med. 2014 Jun;32(6):498-506. doi: 10.1016/j.ajem.2014.01.044. Epub 2014 Feb 3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Economic Problems, run by University of Utah at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
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). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01883778, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Dec 2016.