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  1. Familiarity of hospital clinicians with health care costs and cost effectiveness.

    Article - En anglais

    Objective 

    Health care expenditure consumes 8% of the gross domestic product in the Kingdom of Saudi Arabia.

    The public sector provides 80% of the personnel health costs.

    There is free unlimited access to all health services in Saudi Arabia.

    The objective of this study is to assess the familiarity of hospital doctors with cost and cost effectiveness.

    Method 

    Cross-sectional population survey by questionnaire in a public sector tertiary care military hospital.

    Sample size was estimated by the Epistat statistical package using various probabilities for prevalence of clinicians familiarity with cost and cost effectiveness.

    Results 

    There were 49 (82%) respondents from the 60 doctors involved in the study.

    Twenty-eight (57%) were Saudis and 21 (43%) were non-Saudi.

    Twenty-nine (59%) were residents and 20 (41%) were consultants or fellows.

    Twenty-five (51%) of the respondents were from surgical department, 24 (49%) were from non-surgical departments.

    Forty-one (82%) underestimated the cost of arthroscopy and 39 (80%) underestimated the cost of a laparotomy.

    Thirty-eight (78%) of the 49 respondents were not familiar with how to assess cost effectiveness.

    Forty-five (92%) of respondents had no available references to help them with cost effectiveness.

    Conclusion 

    There is lack of familiarity with health care cost and cost effectiveness issues among hospital clinicians.

    Education and guidelines are needed. (...)

    Mots-clés Pascal : Soin, Santé, Coût, Economie santé, Analyse coût efficacité, Connaissance, Médecin, Arabie Saoudite, Asie, Homme

    Mots-clés Pascal anglais : Care, Health, Costs, Health economy, Cost efficiency analysis, Knowledge, Physician, Saudi Arabia, Asia, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0172941

    Code Inist : 002B30A04B. Création : 16/11/1999.