Dresnick S J, Roth W I, Linn B S, Pratt T C, Blum A
JAMA. 1979 Apr 13;241(15):1606-9.
The seemingly uncontrolled increase in the cost of medical care is one of the major problems facing the American physician. Although the reasons for escalated costs are multifactorial, the physician does play an important role in the problem. Several studies have suggested that physicians, the cost generators, and unaware of the economic impact of the care they provide. In the preparation of this report, 70 medical students, 316 interns and residents, and 41 faculty members at the University of Miami School of Medicine were surveyed on their knowledge of frequently ordered hospital billing items. A common lack of knowledge was noted in all three groups of respondents, with the faculty scoring as poorly as the medical students. Major efforts must be directed toward the cost education of physicians.
医疗费用看似不受控制的增长是美国医生面临的主要问题之一。尽管费用上升的原因是多方面的，但医生在这个问题中确实扮演着重要角色。几项研究表明，作为费用产生者的医生并未意识到他们所提供治疗的经济影响。在撰写本报告时，对迈阿密大学医学院的70名医科学生、316名实习生和住院医生以及41名教员进行了关于他们对常见医院收费项目了解情况的调查。在所有三组受访者中都发现了普遍的知识欠缺，教员的得分与医科学生一样低。必须大力开展针对医生的成本教育。
