Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study.

Autor: Tait SD; Department of Internal Medicine, Massachusetts General Hospital, MA, Boston, USA., Oshima SM; Department of Internal Medicine, Duke University School of Medicine, NC, Durham, USA., Leeras HJ; Department of Surgery, Duke University School of Medicine, NC, Durham, USA., Gunn A; Duke University School of Medicine, NC, Durham, USA., Sarver M; Duke University School of Medicine, NC, Durham, USA., Gunes F; Department of Statistical Science, Duke University, NC, Durham, USA., Greenup RA; Department of Surgery, Yale University, 310 Cedar Street, LH 118, 60510, New Haven, Connecticut, USA. rachel.greenup@yale.edu.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2023 Jan 30; Vol. 23 (1), pp. 73. Date of Electronic Publication: 2023 Jan 30.
DOI: 10.1186/s12909-023-04038-1
Abstrakt: Background: In the context of rising healthcare costs, formal education on treatment-related financial hardship is lacking in many medical schools, leaving future physicians undereducated and unprepared to engage in high-value care.
Method: We performed a prospective cohort study to characterize medical student knowledge regarding treatment-related financial hardship from 2019 to 2020 and 2020-2021, with the latter cohort receiving a targeted educational intervention to increase cost awareness. Using Kirkpatrick's four-level training evaluation model, survey data was analyzed to characterize the acceptability of the intervention and the impact of the intervention on student knowledge, attitudes, and self-reported preparedness to engage in cost-conscious care.
Results: Overall, N = 142 medical students completed the study survey; 61 (47.3%) in the non-intervention arm and 81 (66.4%) in the intervention arm. Of the 81 who completed the baseline survey in the intervention arm, 65 (80.2%) completed the immediate post-intervention survey and 39 (48.1%) completed the two-month post-intervention survey. Following the educational intervention, students reported a significantly increased understanding of common financial terms, access to cost-related resources, and level of comfort and preparedness in engaging in discussions around cost compared to their pre-intervention responses. The majority of participants (97.4%) reported that they would recommend the intervention to future students. A greater proportion of financially stressed students reported considering patient costs when making treatment decisions compared to their non-financially stressed peers.
Conclusions: Targeted educational interventions to increase cost awareness have the potential to improve both medical student knowledge and preparedness to engage in cost-conscious care. Student financial stress may impact high-value care practices. Robust curricula on high-value care, including treatment-related financial hardship, should be formalized and universal within medical school training.
(© 2023. The Author(s).)
Databáze: MEDLINE
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