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Introduction of cost display reduces laboratory test utilization
1Department of Clinical Chemistry and Transfusion Medicine, Växjö Central Hospital, SE-35185 Växjö, Sweden.
The American Journal of Managed Care
|June 1, 2018
Summary
Implementing cost display and cost charge can reduce laboratory test ordering. Cost charge was effective in private primary care, while cost display reduced utilization in secondary care settings.
Area of Science:
- Health economics
- Healthcare management
- Laboratory medicine
Background:
- Rising laboratory test utilization presents a challenge for healthcare systems.
- Understanding the impact of financial transparency on physician ordering behavior is crucial.
Purpose of the Study:
- To evaluate the effectiveness of cost display and cost charge interventions on laboratory test ordering volumes.
- To assess differential impacts across various healthcare settings.
Main Methods:
- A study was conducted across secondary and primary healthcare centers (public and private).
- Cost display was implemented in the computerized test ordering system.
- Cost charge was introduced for primary healthcare centers after an initial period.
Main Results:
- Cost display reduced test volumes in secondary healthcare centers.
- Cost charge significantly decreased test ordering in privately operated primary healthcare centers.
- Neither intervention impacted test volumes in publicly operated primary healthcare centers.
Conclusions:
- Cost awareness and financial responsibility (cost charge) can reduce laboratory utilization.
- The effectiveness of these interventions is context-dependent and varies by healthcare setting.
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