High-Value, Cost-Conscious Care Attitudes in the Graduate Medical Education Learning Environment: Various Stakeholder Attitudes That Residents Misjudge

Serge B. R. Mordang*, Andrea N. Leep Hunderfund, Frank W. J. M. Smeenk, Laurents P. S. Stassen, Karen D. Konings

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)

Abstract

Background Training residents in delivering high-value, cost-conscious care (HVCCC) is crucial for a sustainable healthcare. A supportive learning environment is key. Yet, stakeholders' attitudes toward HVCCC in residents' learning environment are unknown. Objective We aimed to measure stakeholders' HVCCC attitudes in residents' learning environment, compare these with resident perceptions of their attitudes, and identify factors associated with attitudinal differences among each stakeholder group. Design We conducted a cross-sectional survey across the Netherlands between June 2017 and December 2018. Participants Participants were 312 residents, 305 faculty members, 53 administrators, and 1049 patients from 66 (non)academic hospitals. Main Measures Respondents completed the Maastricht HVCCC Attitude Questionnaire (MHAQ), containing three subscales: (1) high-value care, (2) cost incorporation, (3) perceived drawbacks. Additionally, resident respondents estimated the HVCCC attitudes of other stakeholders, and answered questions on job demands and resources. Univariate and multivariate analyses were used to analyze data. Key Results Attitudes differed on all subscales: faculty and administrators reported more positive HVCCC attitudes than residents (p

Original languageEnglish
Pages (from-to)691-698
Number of pages8
JournalJournal of General Internal Medicine
Volume36
Issue number3
Early online date2 Nov 2020
DOIs
Publication statusPublished - Mar 2021

Keywords

  • attitudes
  • graduate medical education
  • high-value
  • cost-conscious care
  • learning environment
  • job characteristics
  • PATIENT-PHYSICIAN COMMUNICATION
  • VALUE HEALTH-CARE
  • HIDDEN CURRICULUM
  • APPROPRIATE
  • UNCERTAINTY
  • EXPERIENCE
  • DECISIONS
  • KNOWLEDGE
  • BARRIERS
  • STUDENT

Cite this