Jahanpour Alipour, Abolfazl Payandeh, Aida Hashemi, Ali Aliabadi, Afsaneh Karimi
Physicians' Perspectives with the E-prescribing System in Five Teaching Hospitals
Applied clinical informatics
costconscious care critical healthcare sustainability evidence suggests doctors consider cost clinical decision making critical step changing understanding barriers encouraging behaviours attitudes related costconscious care therefore conducted qualitative study address research question factors influence consideration cost emergency medicine ed clinical decision making qualitative focus group study using patient vignettes explore attitudes towards costconscious clinical decision making participants year 4 year 5 medical students singapore country feeforservice healthcare system datadriven initial data analysis make sense multitude factors impacting cost conscious care selected fishbeins integrative model behavioural prediction underpin secondary data analysis via four focus groups 21 participants identified five main themes relevant integrative model behavioural prediction attitudes towards considering cost managing patient eg better safe sorry normative beliefs eg others perceptions patient wishes efficacy beliefs eg authority take decisions challenge skills knowledge eg little knowledge costs environmental constraints eg nature healthcare system medical students consider cost clinical decision making due numerous factors lack knowledge costs one factors identified reflect found previous studies residents fullytrained staff contexts theory driven analysis added value facilitated richer exploration students consider cost clinical decision making findings provide insight inform best engage empower educators learners teaching learning costconscious care