Teaching Cost-Effective Diagnostic Test Use to Medical Students
作者:
Sankey Williams,
John Eisenberg,
Deborah Kitz,
J Carroll,
Laurence Beck,
Seth Rubin,
George Ruff,
期刊:
Medical Care
(OVID Available online 1984)
卷期:
Volume 22,
issue 6
页码: 535-542
ISSN:0025-7079
年代: 1984
出版商: OVID
关键词: costcontainment;medical education;diagnostic tests;ancillary services;program evaluation
数据来源: OVID
摘要:
The purpose of this project was to develop and evaluate a program to teach medical students how to order diagnostic tests in a cost-effective manner. The 1-month educational program included a seminar, a simulated patient-care exercise, special case presentations by students, newsletters about diagnostic tests, and concurrent review of patients' bills. Content analysis of answers to open-ended questions and pretests and posttests were used to measure differences in the study and control groups. Although students said the program was useful, no significant differences were found in students' knowledge, attitudes, or simulated test-ordering behavior. The authors conclude that the lack of improvement in objective measures limits the potential effectiveness of restricted efforts such as this one and that the discrepancy between the subjective and objective measures reinforces the need for more rigorous evaluations of programs that teach cost-effective diagnostic test use.
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