Residents have a varying grasp of high-value care, or care that takes benefits, harms and costs, into account, according to a study published in the Journal of the Association of American Medical Colleges.
The survey was conducted in October 2012 among about 18,000 internal medicine residents. Here are eight findings from the report.
- 26 percent of respondents said they knew where to find estimated costs of tests and treatments.
- 24 percent said they share these costs with patients.
- 46 percent incorporate the costs of tests and treatments into their clinical decisions.
- 59 percent said they work to reduce healthcare waste at their place of work.
- 40 percent said they discussed delivering high-value care at least a few times a week with faculty.
- 23 percent said high-value care was the subject of teaching conferences or rounds at least a few times a week.
- Residents training at high-intensity hospitals were more likely to know where to find estimated costs and report the reduction of healthcare waste.
- Those training at lower-intensity hospitals were more sensitive to incorporating costs in their clinical decisions and more likely to incorporate patient values and concerns into their decisions.
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