The Effect of Computerized Feedback Coupled with a Newsletter upon Outpatient Prescribing Charges
Medical CarePublished 1 January 1988
Charles O. Hershey, Harold I. Goldberg, David I. Cohen
Citations47
SJR quartileQ1
SJR score1.57
SNIP1.38
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
From the Division of General Internal Medicine, Case Western Reserve University, Cleveland Metropolitan General Hospital Cleveland, Ohio
Keywords
Health ProfessionsArts and HumanitiesPharmacology, Toxicology and Pharmaceutics
New England Journal of MedicineImproving Drug-Therapy Decisions through Educational Outreach
862 Citations1983Jerry Avorn, Stephen B. Soumerai
Physicians who were offered personal educational visits by clinical pharmacists along with a series of mailed "unadvertisements" reduced their prescribing of the target drugs by 14 per cent as compared with controls, resulting in substantial cost savings.
The American Journal of MedicineScientific versus commercial sources of influence on the prescribing behavior of physicians
570 Citations1982Jerry Avorn, Milton Chen +1 more
To study the relative contributions of scientific and commercial sources of information, two index drugs were chosen, whose pharmacologic effects have been shown by controlled studies to be minimal or not significantly different from those of nonprescription (over-thecounter) preparations, but which are heavily advertised as being effective.
New England Journal of MedicineA Trial of Two Strategies to Modify the Test-Ordering Behavior of Medical Residents
293 Citations1980Albert R. Martin, Marshall A. Wolf +3 more
Two methods to reduce the ordering of laboratory and radiologic tests by medical residents in their first postgraduate year by dividing the residents into three groups are studied.
JAMACost Containment and Changing Physicians' Practice Behavior
228 Citations1981John M. Eisenberg
Although educational programs have had mixed success, those using individualized instruction have been most effective and alterations in the current reimbursement system could offer financial incentives to physicians who practice in a cost-effective manner.
Medical CareQuality Assurance through Automated Monitoring and Concurrent Feedback Using a Computer-Based Medical Information System
193 Citations1978G. Octo Barnett, Richard N. Winickoff +3 more
A computer-based medical information system (COSTAR) has been used to support a quality assurance program where the data collection is an integral part of the patient care recording activity and, therefore, does not require a separate abstracting or encoding process.
Medical CareEconomic and Policy Analysis of University-based Drug ???Detailing???
170 Citations1986Stephen B. Soumerai, Jerry Avorn
Medical CareImproving Drug Prescribing in a Primary Care Practice
128 Citations1984Stephen H. Gehlbach, William E. Wilkinson +5 more
The feedback model improved rates of generic prescribing but should be evaluated for broader areas of physician prescribing.
Medical CareDoes Cost Information Availability Reduce Physician Test Usage?
111 Citations1982David I. Cohen, Paul K. Jones +2 more
Four similar teams of physicians associated with similar inpatient units and randomly assigned patients were used to study the effect of providing physicians with cost information about their use of lab tests and x-rays.
JAMAFeedback Reduces Test Use in a Health Maintenance Organization
106 Citations1986Donald M. Berwick
Overall use fell by 14.2% in a 16-week period during which physicians received confidential feedback on their individual rates of use compared with peers (cost feedback), and similar feedback on rates of abnormal test results (yield feedback) and a program of test-specific education failed to show a consistent effect.
Archives of Internal MedicineEffect of Cost Education, Cost Audits, and Faculty Chart Review on the Use of Laboratory Services
80 Citations1983G. Everett
Among the methods examined, faculty chart review seems to be the most effective method of reducing the amount of laboratory testing performed by house staff.
Academic MedicineEffect of physician tutorials on prescribing patterns of graduate physicians
53 Citations1981Lawrence E. Klein, Patricia Charache +1 more
A prospective controlled trial of a specific form of educational intervention, the physician tutorial, suggests that educational programs can be effective in modifying graduate physician prescribing practices.
Medical CarePhysician Awareness of Economic Factors in Clinical Decision-Making
37 Citations1979John Tobias Nagurney, Robert L. Braham +1 more
Physicians' awareness of economic factors in clinical decision-making at one large urban university medical center was studied by a 50-item questionnaire and may suggest that a directed teaching program in simple economic facts and principles may be useful at all levels of physician training.
Academic MedicineA ‘firm’ system for graduate training in general internal medicine
31 Citations1979Daniel Waggoner, J D Frengley +2 more
The faculty of the Department of Medicine at Cleveland Metropolitan General Hospital has responded to the challenge of fostering general internal medicine in a graduate training program by organizing a "firm" system of medical care which has appealed to academic internists with broad interests in clinical medicine.
Medical CareImpact of a Cost-Containment Educational Program on Housestaff Ambulatory Clinic Charges
27 Citations1983William B. Applegate, Max D. Bennett +3 more
A broad educational program that coupled clinical logic with feedback of charges to internal medicine residents in an ambulatory clinic setting could alter behavior resulted in a decrease in mean laboratory changes and total charges for ambulatory encounters.
NeurologyNeurologists' knowledge of medication costs
26 Citations1984Gary B. Beringer, M. Biel +1 more
Using mailed questionnaires, neurologists were asked for estimates of retail prices for 39 common drugs, attitudes about drug costs, and implications for clinical practice, and community practitioners were more aware of prices than academic neurologists and trainees.
Medical CareAcademic Group Practice
5 Citations1987David I. Cohen, Daniel Breslau +5 more
It is concluded that reorganization of a traditional medical clinic into a group practice model can result in increased physician satisfaction although it may not have a major impact on long-term career goals.
The American Journal of the Medical SciencesResident Knowledge of Charges: Are We Asking the Right Questions?
3 Citations1987Charles O. Hershey, Neal V. Dawson +3 more
Physician knowledge of costs and charges for medical services is thought to have substantial relevance for cost containment and the authors suggest that previous methods may have been too insensitive.
