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Evaluating Physician Knowledge of Commonly Prescribed Inpatient Rehabilitation Unit Discharge Medication’s Costs

An Observational Study

Capizzi, Allison Nuovo MD1; Kirk, Melissa Nuntapreda MD1; Lee, Venessa Ann MD1; Cushman, Daniel M. MD1

American Journal of Physical Medicine & Rehabilitation: May 8, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001219
RFS - Education and Training: PDF Only

The objective of this study was to assess physiatrists’ knowledge of the cost of medications commonly prescribed at discharge from inpatient rehabilitation units across the spectrum of practice experience from residents to attending physicians. Investigators contacted 92 pharmacies across 4 major regions of the United States (U.S.) and averaged the cash price of each medication. An electronic survey was created highlighting 17 medications in which physicians estimated the cost of a medication per pill and per month for a 30-day supply. Surveys were sent to all ACGME-accredited programs across the U.S.; 43 participants responded to the survey. Most respondents overestimated the cost of the medications chosen for the survey. There was no significant difference between medication cost knowledge and practice experience (p = 0.497) or post-graduate year of training (p = 0.593). This raises awareness that physiatrists may not know the cost of medications they commonly prescribe at discharge, which may have implications on patient medication compliance, quality of care and patient satisfaction.

1University of Utah Division of Physical Medicine & Rehabilitation

Correspondence: Allison Capizzi, MD, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132. Office Phone: 801-585-2589. Mobile: 805-403-1763. Fax: 801-587-5757

Author Disclosures: No authors involved in this study have any competing interests, financial benefits, funding, grants or equipment to disclose.

This material has not been presented at an AAPM&R Annual Assembly.

Funding: No funding was acquired in completion of this project

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