Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure
OBJECTIVES: We aimed to ascertain the efficacy of an intervention inwhich laboratory test costs were provided to clinicians as a pocketsizedbrochure, in reducing laboratory test costs over a 4-monthperiod. METHODS: This was a non-randomised intervention study in theInternal Medicine wards at Steve Biko Academic Hospital, Pretoria, in which the intervention was laboratory test costs provided toclinicians as a pocket-sized brochure. The intervention period wasthe winter months of May - August 2008 and the pre-interventionperiod was the same months of the preceding year. In the two4-month periods (2007 and 2008), the number of days in hospitaland the laboratory tests ordered were computed for each patientadmitted. For the intervention and control groups, pre- and postinterventioncost and days in hospital were estimated. RESULTS: The mean cost per patient admitted in the interventiongroup decreased from R2 864.09 to R2 097.47 - a 27% reduction.The mean cost per day in the intervention group as a whole alsodecreased, from R442.90 to R284.14 - a 36% reduction. CONCLUSION: Displaying the charges for diagnostic tests on thelaboratory request form may significantly reduce both the numberand cost of tests ordered, and by doing so bring about considerablein-hospital cost savings.
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South African Medical Association
2011
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oai:scielo:S0256-957420110010000292012-03-30Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditureEllemdin,SRheeder,PSoma,POBJECTIVES: We aimed to ascertain the efficacy of an intervention inwhich laboratory test costs were provided to clinicians as a pocketsizedbrochure, in reducing laboratory test costs over a 4-monthperiod. METHODS: This was a non-randomised intervention study in theInternal Medicine wards at Steve Biko Academic Hospital, Pretoria, in which the intervention was laboratory test costs provided toclinicians as a pocket-sized brochure. The intervention period wasthe winter months of May - August 2008 and the pre-interventionperiod was the same months of the preceding year. In the two4-month periods (2007 and 2008), the number of days in hospitaland the laboratory tests ordered were computed for each patientadmitted. For the intervention and control groups, pre- and postinterventioncost and days in hospital were estimated. RESULTS: The mean cost per patient admitted in the interventiongroup decreased from R2 864.09 to R2 097.47 - a 27% reduction.The mean cost per day in the intervention group as a whole alsodecreased, from R442.90 to R284.14 - a 36% reduction. CONCLUSION: Displaying the charges for diagnostic tests on thelaboratory request form may significantly reduce both the numberand cost of tests ordered, and by doing so bring about considerablein-hospital cost savings.South African Medical AssociationSAMJ: South African Medical Journal v.101 n.10 20112011-10-01journal articletext/htmlhttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742011001000029en |
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Ellemdin,S Rheeder,P Soma,P |
| spellingShingle |
Ellemdin,S Rheeder,P Soma,P Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| author_facet |
Ellemdin,S Rheeder,P Soma,P |
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Ellemdin,S |
| title |
Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| title_short |
Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| title_full |
Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| title_fullStr |
Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| title_full_unstemmed |
Providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| title_sort |
providing clinicians with information on laboratory test costs leads to reduction in hospital expenditure |
| description |
OBJECTIVES: We aimed to ascertain the efficacy of an intervention inwhich laboratory test costs were provided to clinicians as a pocketsizedbrochure, in reducing laboratory test costs over a 4-monthperiod. METHODS: This was a non-randomised intervention study in theInternal Medicine wards at Steve Biko Academic Hospital, Pretoria, in which the intervention was laboratory test costs provided toclinicians as a pocket-sized brochure. The intervention period wasthe winter months of May - August 2008 and the pre-interventionperiod was the same months of the preceding year. In the two4-month periods (2007 and 2008), the number of days in hospitaland the laboratory tests ordered were computed for each patientadmitted. For the intervention and control groups, pre- and postinterventioncost and days in hospital were estimated. RESULTS: The mean cost per patient admitted in the interventiongroup decreased from R2 864.09 to R2 097.47 - a 27% reduction.The mean cost per day in the intervention group as a whole alsodecreased, from R442.90 to R284.14 - a 36% reduction. CONCLUSION: Displaying the charges for diagnostic tests on thelaboratory request form may significantly reduce both the numberand cost of tests ordered, and by doing so bring about considerablein-hospital cost savings. |
| publisher |
South African Medical Association |
| publishDate |
2011 |
| url |
http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742011001000029 |
| work_keys_str_mv |
AT ellemdins providingclinicianswithinformationonlaboratorytestcostsleadstoreductioninhospitalexpenditure AT rheederp providingclinicianswithinformationonlaboratorytestcostsleadstoreductioninhospitalexpenditure AT somap providingclinicianswithinformationonlaboratorytestcostsleadstoreductioninhospitalexpenditure |
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