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At what cost? A descriptive study evaluating cost awareness of laboratory investigations in doctors working in district hospitals in the West Coast and Cape Winelands districts

dc.contributor.advisorPather, Michaelen_ZA
dc.contributor.authorBrownbridge, Joshuaen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.en_ZA
dc.date.accessioned2019-08-20T10:24:26Z
dc.date.accessioned2019-12-11T06:59:50Z
dc.date.available2019-08-20T10:24:26Z
dc.date.available2019-12-11T06:59:50Z
dc.date.issued2019-12
dc.identifier.urihttp://hdl.handle.net/10019.1/107334
dc.descriptionThesis (MFamMed)--Stellenbosch University, 2019.en_ZA
dc.description.abstractENGLISH SUMMARY : Background: Globally the cost of health care is steadily increasing, and in South Africa it is no different. The budget for health care in the 2018 / 2019 financial year is R205 billion and is expected to increase by 7.8%. International research has found cost awareness amongst doctors to be poor and there is limited research in the South Africa. Improving cost awareness amongst clinicians has shown to have a cost saving effect. Aim: To evaluate cost awareness of laboratory investigations among doctors working in district hospitals in the West Coast and Cape Winelands Districts. Setting: Nine district hospitals within the West Coast and Cape Winelands Districts. Methods: A descriptive cross-sectional study in the form of a questionnaire was used. This questionnaire was adapted from previous international research. Results: A response rate of ninety percent was obtained. Doctors accurately estimated cost in 23.53% (95% CI 21.09 – 25.97) of thirty commonly requested investigations. Age, gender, years of experience, position held, and district of practice had no significant impact on cost awareness. On a scale of ten, doctors rated their cost awareness as 5.48, previous training 3.00, access to information on cost as 4.88, cost influencing their decision making as 6.73 and increasing cost awareness would change their ordering as 7.58. Conclusion: Cost awareness was found to be poor amongst doctors working in the West Coast and Cape Winelands and was uninfluenced by their demographic factors. Doctors acknowledged this, however, and reported that they had received minimal cost awareness training and that they had limited access to information about cost.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.af_ZA
dc.format.extent23 pages ; illustrations
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.subjectDiagnosis, Laboratory -- Cost of operation -- Western Cape (South Africa)en_ZA
dc.subjectPhysicians (General practice) -- Western Cape (South Africa)en_ZA
dc.subjectPrimary care (Medicine) -- Western Cape (South Africa)en_ZA
dc.subjectUCTD
dc.titleAt what cost? A descriptive study evaluating cost awareness of laboratory investigations in doctors working in district hospitals in the West Coast and Cape Winelands districtsen_ZA
dc.typeThesisen_ZA
dc.description.versionMasters
dc.rights.holderStellenbosch University


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