Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education
Purpose: The purpose of this study was to compare attitudes regarding cost-consciousness between student populations at two medical schools in the United States and Canada. Method: We conducted a cross-sectional survey of students at Harvard Medical School and University of Toronto. We perfo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2019-01-01
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| Series: | MedEdPublish |
| Subjects: | |
| Online Access: | https://www.mededpublish.org/Manuscripts/2139 |
| _version_ | 1819047832214044672 |
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| author | Marisa Leon-Carlyle Rory McQuillan Ioana Baiu Amy Sullivan Dmitry Dukhovny Neel Shah |
| author_facet | Marisa Leon-Carlyle Rory McQuillan Ioana Baiu Amy Sullivan Dmitry Dukhovny Neel Shah |
| author_sort | Marisa Leon-Carlyle |
| collection | DOAJ |
| description | Purpose: The purpose of this study was to compare attitudes regarding cost-consciousness between student populations at two medical schools in the United States and Canada.
Method: We conducted a cross-sectional survey of students at Harvard Medical School and University of Toronto. We performed chi-square analyses comparing responses from the two institutions.
Results: Response rates were 48% (n=162) and 45% (n=228) at Harvard and the University of Toronto, respectively. At both institutions, >96% of students agreed clinicians at all stages of training should be familiar with cost-conscious decision-making, 80% agreed physicians are responsible for discussing healthcare costs with patients, and over 80% felt they had too little education on the topic in medical school. Students differed in opinions about the extent to which patients should inquire about costs, with students at Harvard more likely to endorse this opinion compared with those from Toronto (51% vs 28%, respectively), and differed over whether cost-consciousness led to rationing of healthcare (Harvard 30% vs Toronto 51%). Fewer than 10% of all students expressed concerns that incorporating costs into care was unethical. Overall, 85% of students from both countries would like more formal teaching on this topic.
Discussion: Students from both schools strongly endorsed a need to learn more about cost-conscious decision-making. Findings suggest students in both systems can benefit from learning similar core concepts related to high-value, cost-conscious care, and teaching in this topic can be customized to reflect specific differences in expectations and practices in the two healthcare systems. |
| first_indexed | 2024-12-21T11:06:37Z |
| format | Article |
| id | doaj.art-b58fbdedb1904c549cdf1c1c0215f2d2 |
| institution | Directory Open Access Journal |
| issn | 2312-7996 |
| language | English |
| last_indexed | 2024-12-21T11:06:37Z |
| publishDate | 2019-01-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | MedEdPublish |
| spelling | doaj.art-b58fbdedb1904c549cdf1c1c0215f2d22022-12-21T19:06:12ZengF1000 Research LtdMedEdPublish2312-79962019-01-0181Assessing Student Attitudes Regarding Cost-Consciousness in Medical EducationMarisa Leon-Carlyle0Rory McQuillan1Ioana Baiu2Amy Sullivan3Dmitry Dukhovny4Neel Shah5University of TorontoUniversity of TorontoStanford UniversityHarvard Medical SchoolOregon Health & Science UniversityHarvard Medical SchoolPurpose: The purpose of this study was to compare attitudes regarding cost-consciousness between student populations at two medical schools in the United States and Canada. Method: We conducted a cross-sectional survey of students at Harvard Medical School and University of Toronto. We performed chi-square analyses comparing responses from the two institutions. Results: Response rates were 48% (n=162) and 45% (n=228) at Harvard and the University of Toronto, respectively. At both institutions, >96% of students agreed clinicians at all stages of training should be familiar with cost-conscious decision-making, 80% agreed physicians are responsible for discussing healthcare costs with patients, and over 80% felt they had too little education on the topic in medical school. Students differed in opinions about the extent to which patients should inquire about costs, with students at Harvard more likely to endorse this opinion compared with those from Toronto (51% vs 28%, respectively), and differed over whether cost-consciousness led to rationing of healthcare (Harvard 30% vs Toronto 51%). Fewer than 10% of all students expressed concerns that incorporating costs into care was unethical. Overall, 85% of students from both countries would like more formal teaching on this topic. Discussion: Students from both schools strongly endorsed a need to learn more about cost-conscious decision-making. Findings suggest students in both systems can benefit from learning similar core concepts related to high-value, cost-conscious care, and teaching in this topic can be customized to reflect specific differences in expectations and practices in the two healthcare systems.https://www.mededpublish.org/Manuscripts/2139medical educationresource stewardshiplearner valuesChoosing WiselyCosts of Care |
| spellingShingle | Marisa Leon-Carlyle Rory McQuillan Ioana Baiu Amy Sullivan Dmitry Dukhovny Neel Shah Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education MedEdPublish medical education resource stewardship learner values Choosing Wisely Costs of Care |
| title | Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education |
| title_full | Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education |
| title_fullStr | Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education |
| title_full_unstemmed | Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education |
| title_short | Assessing Student Attitudes Regarding Cost-Consciousness in Medical Education |
| title_sort | assessing student attitudes regarding cost consciousness in medical education |
| topic | medical education resource stewardship learner values Choosing Wisely Costs of Care |
| url | https://www.mededpublish.org/Manuscripts/2139 |
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