Table 1: Lessons
learned from collecting cost data from physicians - Two-method comparison.
Technique
applied |
Lesson
learned |
||
Criteria |
Delphi Panel N = 16 |
Online Survey N = 14 |
|
Recruitment |
Contacted
physicians’ medical specialty organization and randomly selected 20
physicians who met the study criteria using the random function in Excel. 80%
of physicians invited agreed to participate in the Delphi panel. |
Contacted
the medical education director of their hospital and sent an online
invitation to all physicians who met the study criteria. Less
than 15% of physicians accepted the invitation to participate in the study. |
Physicians
have a stronger association with their medical specialty organization and are
more likely to participate if they are selected personally than if invited
via their hospital email. |
Data
collection |
Each
participant received an electronic survey, at least 3 follow-up phone calls,
and a personalized interview to review responses. 100%
of questions were answered. |
Each
participant received an online invitation with detailed instructions, and 3
electronic reminders. 20%
of questions were answered; most questions were left blank or incomplete. |
Physicians
are unfamiliar with cost structures and financial questions about their
practices. The
Delphi panel proved to be more effective in collecting valid and complete
information. |
Time |
Total
time dedicated to each participant ranged from 60-180 minutes, from
recruitment and data verification. |
Minimum
time was spent interacting with physicians. Researchers
used online automatic reminders. |
Physicians
are unlikely to have dedicated time to complete questionnaires. Researchers
need to plan time to guide physicians through questions, explain possible
scenarios, and gather the financial data needed. |
Cost |
An
incentive of $500 per physician was offered to participate. |
No
incentive was offered to physicians to participate in the study. Physicians
receive institutional incentives from their medical associations |
Physicians
respond positively to an economic incentive, which may have guaranteed
dedicated time to participate in the study. |
Response
rate |
Of
those selected for the study, 100% of participants completed the survey and
the subsequent rounds of data collection. |
Less
than 15% of participants initiated the survey, and less than 10% finished the
survey. |
There
is a direct relationship between time spent in contact with participating physicians
and the response rate. |
Quality
of information |
High
quality. Each participant was individually guided on data collection and all
responses were verified. |
Low
quality. |
Physicians
rely on office support to handle the financial aspect of their practices. Without guidance from the research team,
physicians are unfamiliar with the costs associated with their practices. |