Knowledge, Attitudes, and Practices of Family Medicine Physicians Regarding the Costs of Common Laboratory Investigations in the Chronic Disease Clinic at King Saud Medical City: A Cross-Sectional Study

沙特国王医疗城慢性病诊所家庭医生对常见实验室检查费用的认知、态度和实践:一项横断面研究

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Abstract

OBJECTIVES: To assess the awareness of family medicine physicians regarding the cost of common laboratory investigations in chronic diseases. It also aims to evaluate their awareness of how costs could affect their medical decision-making. METHODOLOGY: This was a cross-sectional study conducted among all family medicine physicians working in the King Saud Medical City. Our data were collected using questionnaires distributed to participants by group members. Both a paper-based version and an online version through SurveyMonkey (Momentive, CA, USA) were used. RESULTS: A total of 95 family physicians were included in this study, and nearly half of them, 48 (50.5%), were males. The majority, 66 (69.5%), 72 (75.8%), 70 (73.3%), and 73 (76.4%), physicians underestimated the cost of complete blood count, coagulation profile, iron studies, and liver profile, respectively. The least correctly estimated tests appear to be hemoglobin A1C and iron studies. Correct cost estimation was the highest in urine analysis (81, 85.3%). Work experience was significantly associated with the awareness about liver panel cost (P=0.040). CONCLUSION: The capacity of family physicians to correctly estimate the prices of various laboratory tests varies significantly, as this study shows. While most doctors predicted the cost of routine procedures, such as urine analysis, accurately, many had trouble with tests like thyroid panels and creatinine clearance. These results highlight the need for doctors to have a better understanding of costs associated with diagnostic tests since this is necessary to support the provision of cost-effective healthcare.

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