From the Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Departments of Biostatistics.
Anesth Analg. 2019 Jul;129(1):e23-e26. doi: 10.1213/ANE.0000000000003679.
Little is known about charge sensitivity or charge awareness among intensive care unit (ICU) providers in the United States. In a survey of 295 ICU providers at a large, academic medical center, 92.5% of respondents agreed that controlling health care expenses is partly their responsibility. However, 87.4% of respondents reported that they did not know the charges for most of the tests and medications they prescribe. Among surveyed participants, the correct charge for a medical procedure or test was selected only 35% of the time. While ICU providers overwhelmingly agree that controlling expenses is their responsibility, charge awareness is low and likely limits their ability to make value-based decisions.
目前，人们对美国重症监护病房（ICU）医护人员的收费意识知之甚少。在对一家大型学术医疗中心的 295 名 ICU 医护人员进行的调查中，92.5%的受访者同意控制医疗费用是他们部分责任。然而，87.4%的受访者表示，他们不知道自己开的大部分检查和药物的费用。在接受调查的参与者中，只有 35%的时间能正确选择医疗程序或检查的费用。虽然 ICU 医护人员普遍认为控制费用是他们的责任，但收费意识较低，可能限制了他们做出基于价值的决策的能力。
