A cost-consequences analysis of a primary care librarian question and answering service
Cost consequences analysis was completed from randomized controlled trial (RCT) data for the Just-in-time (JIT) librarian consultation service in primary care that ran from October 2005 to April 2006. The service was aimed at providing answers to clinical questions arising during the clinical encoun...
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| Veröffentlicht in: | PloS one 2012-03, Vol.7 (3), p.e33837-e33837 |
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| creator | McGowan, Jessie Hogg, William Zhong, Jianwei Zhao, Xue |
| description | Cost consequences analysis was completed from randomized controlled trial (RCT) data for the Just-in-time (JIT) librarian consultation service in primary care that ran from October 2005 to April 2006. The service was aimed at providing answers to clinical questions arising during the clinical encounter while the patient waits. Cost saving and cost avoidance were also analyzed. The data comes from eighty-eight primary care providers in the Ottawa area working in Family Health Networks (FHNs) and Family Health Groups (FHGs).
We conducted a cost consequences analysis based on data from the JIT project. We also estimated the potential economic benefit of JIT librarian consultation service to the health care system.
The results show that the cost per question for the JIT service was $38.20. The cost could be as low as $5.70 per question for a regular service. Nationally, if this service was implemented and if family physicians saw additional patients when the JIT service saved them time, up to 61,100 extra patients could be seen annually. A conservative estimate of the cost savings and cost avoidance per question for JIT was $11.55.
The cost per question, if the librarian service was used at full capacity, is quite low. Financial savings to the health care system might exceed the cost of the service. Saving physician's time during their day could potentially lead to better access to family physicians by patients. Implementing a librarian consultation service can happen quickly as the time required to train professional librarians to do this service is short. |
| doi_str_mv | 10.1371/journal.pone.0033837 |
| format | Article |
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We conducted a cost consequences analysis based on data from the JIT project. We also estimated the potential economic benefit of JIT librarian consultation service to the health care system.
The results show that the cost per question for the JIT service was $38.20. The cost could be as low as $5.70 per question for a regular service. Nationally, if this service was implemented and if family physicians saw additional patients when the JIT service saved them time, up to 61,100 extra patients could be seen annually. A conservative estimate of the cost savings and cost avoidance per question for JIT was $11.55.
The cost per question, if the librarian service was used at full capacity, is quite low. Financial savings to the health care system might exceed the cost of the service. Saving physician's time during their day could potentially lead to better access to family physicians by patients. Implementing a librarian consultation service can happen quickly as the time required to train professional librarians to do this service is short.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0033837</identifier><identifier>PMID: 22442727</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Avoidance ; Canada ; Clinical decision making ; Consultation ; Cost analysis ; Cost engineering ; Costs and Cost Analysis ; Data processing ; Decision making ; Economic aspects ; Education, Continuing - economics ; Family medicine ; Health care ; Health care costs ; Health care industry ; Humans ; Librarians ; Medical personnel ; Medical Record Administrators - economics ; Medical Record Administrators - organization & administration ; Medical Record Administrators - standards ; Medicine ; Patients ; Physicians ; Primary care ; Primary Health Care - economics ; Primary Health Care - organization & administration ; Primary Health Care - standards ; Questions and answers ; Remote Consultation - economics ; Remote Consultation - organization & administration ; Remote Consultation - standards ; Social and Behavioral Sciences</subject><ispartof>PloS one, 2012-03, Vol.7 (3), p.e33837-e33837</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 McGowan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>McGowan et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c691t-e32fdb99297f7d814dfca3b2daf87d030a18e2319c7742a686b1c4f2d1abd2c73</citedby><cites>FETCH-LOGICAL-c691t-e32fdb99297f7d814dfca3b2daf87d030a18e2319c7742a686b1c4f2d1abd2c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307768/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307768/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22442727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGowan, Jessie</creatorcontrib><creatorcontrib>Hogg, William</creatorcontrib><creatorcontrib>Zhong, Jianwei</creatorcontrib><creatorcontrib>Zhao, Xue</creatorcontrib><title>A cost-consequences analysis of a primary care librarian question and answering service</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Cost consequences analysis was completed from randomized controlled trial (RCT) data for the Just-in-time (JIT) librarian consultation service in primary care that ran from October 2005 to April 2006. The service was aimed at providing answers to clinical questions arising during the clinical encounter while the patient waits. Cost saving and cost avoidance were also analyzed. The data comes from eighty-eight primary care providers in the Ottawa area working in Family Health Networks (FHNs) and Family Health Groups (FHGs).
We conducted a cost consequences analysis based on data from the JIT project. We also estimated the potential economic benefit of JIT librarian consultation service to the health care system.
The results show that the cost per question for the JIT service was $38.20. The cost could be as low as $5.70 per question for a regular service. Nationally, if this service was implemented and if family physicians saw additional patients when the JIT service saved them time, up to 61,100 extra patients could be seen annually. A conservative estimate of the cost savings and cost avoidance per question for JIT was $11.55.
The cost per question, if the librarian service was used at full capacity, is quite low. Financial savings to the health care system might exceed the cost of the service. Saving physician's time during their day could potentially lead to better access to family physicians by patients. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McGowan, Jessie</au><au>Hogg, William</au><au>Zhong, Jianwei</au><au>Zhao, Xue</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A cost-consequences analysis of a primary care librarian question and answering service</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-03-19</date><risdate>2012</risdate><volume>7</volume><issue>3</issue><spage>e33837</spage><epage>e33837</epage><pages>e33837-e33837</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Cost consequences analysis was completed from randomized controlled trial (RCT) data for the Just-in-time (JIT) librarian consultation service in primary care that ran from October 2005 to April 2006. The service was aimed at providing answers to clinical questions arising during the clinical encounter while the patient waits. Cost saving and cost avoidance were also analyzed. The data comes from eighty-eight primary care providers in the Ottawa area working in Family Health Networks (FHNs) and Family Health Groups (FHGs).
We conducted a cost consequences analysis based on data from the JIT project. We also estimated the potential economic benefit of JIT librarian consultation service to the health care system.
The results show that the cost per question for the JIT service was $38.20. The cost could be as low as $5.70 per question for a regular service. Nationally, if this service was implemented and if family physicians saw additional patients when the JIT service saved them time, up to 61,100 extra patients could be seen annually. A conservative estimate of the cost savings and cost avoidance per question for JIT was $11.55.
The cost per question, if the librarian service was used at full capacity, is quite low. Financial savings to the health care system might exceed the cost of the service. Saving physician's time during their day could potentially lead to better access to family physicians by patients. Implementing a librarian consultation service can happen quickly as the time required to train professional librarians to do this service is short.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22442727</pmid><doi>10.1371/journal.pone.0033837</doi><tpages>e33837</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Avoidance Canada Clinical decision making Consultation Cost analysis Cost engineering Costs and Cost Analysis Data processing Decision making Economic aspects Education, Continuing - economics Family medicine Health care Health care costs Health care industry Humans Librarians Medical personnel Medical Record Administrators - economics Medical Record Administrators - organization & administration Medical Record Administrators - standards Medicine Patients Physicians Primary care Primary Health Care - economics Primary Health Care - organization & administration Primary Health Care - standards Questions and answers Remote Consultation - economics Remote Consultation - organization & administration Remote Consultation - standards Social and Behavioral Sciences |
| title | A cost-consequences analysis of a primary care librarian question and answering service |
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