umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Introduction of Cost Display Reduces Laboratory Test Utilization
Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry. Department of Clinical Chemistry and Transfusion Medicine, Växjö Central Hospital, Växjö, Sweden.ORCID iD: 0000-0003-2844-1310
2018 (English)In: American Journal of Managed Care, ISSN 1088-0224, E-ISSN 1936-2692, Vol. 24, no 5, p. E164-E169Article in journal (Refereed) Published
Abstract [en]

Objectives: To study the effects on the number of laboratory tests ordered after introduction of cost display (showing the cost in the computerized test ordering system at test ordering and test result delivery) and cost charge (requiring all primary healthcare centers to pay full laboratory costs of the ordered tests).

Study design: The study included cost display for secondary healthcare centers (inpatient hospitals, emergency departments, and outpatient specialist providers) as well as publicly and privately operated primary healthcare centers (sites of nonemergency, nonspecialist healthcare). After 3 months cost charge was introduced by management for all primary healthcare centers.

Methods: Information on laboratory test name in the test ordering system, resulting in cost display both at the moment of test ordering and at the presentation of the test result. Numbers of laboratory tests were obtained from the laboratory information system and calculated as tests per physician visit. Cost charge was managed through the established laboratory invoicing system.

Results: In the publicly operated primary healthcare centers, neither if the interventions had any effect on laboratory test volume, nor did cost display have an effect in the privately operated primary healthcare centers. However, introduction of cost charge significantly decreased laboratory test ordering in the privately operated primary healthcare centers.In contrast, secondary healthcare centers lowered test volumes when cost display was introduced.

Conclusions: The results support cost awareness and cost charge as means of reducing laboratory utilization. However, the outcome varies with the setting.

Place, publisher, year, edition, pages
Managed Care & Healthcare Communications LLC. , 2018. Vol. 24, no 5, p. E164-E169
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-149027ISI: 000433571600005PubMedID: 29851448Scopus ID: 2-s2.0-85047880223OAI: oai:DiVA.org:umu-149027DiVA, id: diva2:1218673
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2018-06-14Bibliographically approved

Open Access in DiVA

No full text in DiVA

PubMedScopus

Authority records BETA

Ekblom, Kim

Search in DiVA

By author/editor
Ekblom, Kim
By organisation
Clinical chemistry
In the same journal
American Journal of Managed Care
Health Care Service and Management, Health Policy and Services and Health Economy

Search outside of DiVA

GoogleGoogle Scholar

pubmed
urn-nbn

Altmetric score

pubmed
urn-nbn
Total: 95 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf