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A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff

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Mass General Brigham

Status

Completed

Conditions

Graduate Medical Education
Cost-Effectiveness

Treatments

Behavioral: Educational Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT01303263
2009-P-001758/1 BWH;

Details and patient eligibility

About

OBJECTIVE: To test a brief intervention designed to improve the cost-effectiveness of care provided by medicine housestaff for hospitalized patients.

HYPOTHESIS: A brief intervention in which medicine residents receive itemized bills for recent patients cared for by them, followed by a discussion on approaches to reducing unnecessary inpatient costs, can result in significant cost reductions without adversely affecting patient outcomes.

Full description

We designed a brief educational intervention with two primary objectives: 1) to increase awareness among residents about how their decisions impact the costs of inpatient medical care; and 2) to improve the cost-effectiveness of care provided by residents without adversely affecting patient outcomes. We hypothesized that a brief intervention in which residents receive bills for patients they recently cared for, followed by a discussion on approaches to reducing unnecessary inpatient costs, would reduce costs without adversely affecting patient outcomes.

Enrollment

96 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Internal Medicine Residents on Inpatient Rotations at Brigham & Women's Hospital

Exclusion criteria

  • Having a team member who was in either the control group or intervention group in a prior round of this study.

Trial design

96 participants in 2 patient groups

Intervention Group
Other group
Description:
Residents Randomized to Receive Educational Intervention
Treatment:
Behavioral: Educational Intervention
Control Group
No Intervention group
Description:
Residents randomized not to receive a teaching intervention.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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