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骨科住院医师对骨科植入物成本和医疗保健计划的了解。

Knowledge of orthopaedic implant costs and healthcare schemes among orthopaedic residents.

作者信息

Chan Chloe Xiaoyun, Foo Gen Lin, Kwek Ernest Beng Kee

机构信息

NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

出版信息

Singapore Med J. 2018 Dec;59(12):616-618. doi: 10.11622/smedj.2018143.

DOI:10.11622/smedj.2018143
PMID:30631883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6301878/
Abstract

There is a paucity of available research on knowledge of orthopaedic implant costs and healthcare schemes among orthopaedic residents. With the rising healthcare costs in Singapore, it is imperative for residents, who are the future surgeons, to understand these issues in order to provide proper counselling and cost-effective management. This study aimed to quantify how accurately they understood these issues and determine if senior residents had better knowledge given their increased experience. An online survey was administered to all orthopaedic residents within a residency programme. There was poor knowledge of implant costs and healthcare schemes among residents. Junior residents fared better at healthcare schemes, while senior residents fared better at estimation of implant costs. Education on these issues should be incorporated into the residency programme to bring about more holistic and cost-conscious clinicians.

摘要

关于骨科住院医师对骨科植入物成本和医疗保健计划的了解,现有研究较少。随着新加坡医疗成本的不断上升,作为未来外科医生的住院医师必须了解这些问题,以便提供适当的咨询和具有成本效益的管理。本研究旨在量化他们对这些问题的理解有多准确,并确定高级住院医师是否因其经验增加而有更好的了解。对住院医师培训项目中的所有骨科住院医师进行了一项在线调查。住院医师对植入物成本和医疗保健计划的了解较差。初级住院医师在医疗保健计划方面表现较好,而高级住院医师在植入物成本估算方面表现较好。应将关于这些问题的教育纳入住院医师培训项目,以培养更全面且有成本意识的临床医生。

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本文引用的文献

1
Surgeons' knowledge about the costs of orthopaedic implants.外科医生对骨科植入物成本的了解。
J Orthop Surg (Hong Kong). 2014 Aug;22(2):221-3. doi: 10.1177/230949901402200222.
2
Survey finds few orthopedic surgeons know the costs of the devices they implant.调查发现,很少有骨科医生了解他们植入设备的成本。
Health Aff (Millwood). 2014 Jan;33(1):103-9. doi: 10.1377/hlthaff.2013.0453.
3
Teaching high-value, cost-conscious care: improving residents' knowledge and attitudes.传授高价值、注重成本的医疗服务:提高住院医师的知识水平和态度。
Am J Med. 2013 Sep;126(9):838-42. doi: 10.1016/j.amjmed.2013.05.015.
4
Orthopaedic surgeons frequently underestimate the cost of orthopaedic implants.骨科医生经常低估骨科植入物的成本。
Clin Orthop Relat Res. 2013 Jun;471(6):1744-9. doi: 10.1007/s11999-012-2757-x.
5
The impact of disruptive innovations in orthopaedics.骨科颠覆性创新的影响。
Clin Orthop Relat Res. 2009 Oct;467(10):2512-20. doi: 10.1007/s11999-009-0865-z. Epub 2009 May 5.