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Published on: April 17, 2019
[What do doctors think an MR examination costs?].
Hans Olav Melberg1, Berit Bringedal
1Helseøkonomisk forskningsprogram ved Universitetet i Oslo (HERO) og Avdeling for helseledelse og helseøkonomi (HELED), Universitetet i Oslo, Postboks 1089 Blindern, 0317 Oslo, Norway. hans.melberg@gmail.com
Norwegian physicians often misjudge the costs of magnetic resonance (MR) knee examinations. Accurate cost knowledge is crucial for physicians to fulfill their gate-keeping role in healthcare.
Area of Science:
- Medical Economics
- Healthcare Policy
- Diagnostic Imaging
Background:
- Norwegian law mandates physicians assess medical intervention costs and benefits.
- Physicians act as gate-keepers, requiring cost-benefit knowledge.
- This study assesses physician understanding of magnetic resonance (MR) knee examination costs.
Purpose of the Study:
- To evaluate Norwegian physicians' knowledge of MR knee examination costs.
- To determine the accuracy of physicians' cost estimations.
- To assess the implications for physicians' gate-keeping role.
Main Methods:
- A 2006 questionnaire was sent to 1,400 Norwegian physicians.
- Physicians were asked to estimate the total cost of a standard MR knee examination.
- Statistical analysis included unpaired t-tests and Pearson's correlation coefficient.
Main Results:
- Physician cost estimates for MR knee exams varied significantly.
- 57% of physicians overestimated or underestimated costs by 50% or more.
- 47% overestimated costs (above 1875 NOK), while 10% underestimated (below 625 NOK).
Conclusions:
- Physicians demonstrate a significant lack of knowledge regarding MR knee examination costs.
- Informed cost assessment is essential for physicians to effectively perform their gate-keeping duties.
- Enhanced medical economic education is recommended for healthcare providers.
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