Key result
Resident and attending general surgeons reported that the cost of a surgical drain was not an important consideration in their decision-making process.
Cross-Sectional
Surgeons currently do not consider cost as an important factor in clinical decision-making, which may hinder the delivery of cost-effective surgical care.
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Surgeons overlook drain costs in decisions; leaves open whether education or incentives can align practice with cost-effectiveness goals.
The importance of delivering cost-effective quality surgical care has increased with the introduction of new payment mechanisms designed to slow the rise in health care costs. We examined the reasons for the use of a commonly used surgical input--a drain--to determine surgeons' feelings about the importance of costs. Both resident and attending general surgeons felt that the cost of the input was not an important consideration in the decision-making process of choosing the input. We believe that these findings are applicable across the range of inputs (hospital days, laboratory tests, ancillary procedures) used by surgeons in their practices. Unless this changes in the future, surgeons will not be able to provide quality surgical care within economic constraints.
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Eric Muñoz (1985) reported a cross-sectional. Cost consideration in surgical decision-making was evaluated on Surgeons' feelings about the importance of costs when using a surgical drain. Resident and attending general surgeons reported that the cost of a surgical drain was not an important consideration in their decision-making process.
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