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Does communicating the costs associated with a diagnostic test influence the test ordering behaviour of ICU (intensive care unit) medical professionals?

Evaluating the effect of presenting different costing information on ICU medical clinician behaviour in relation to diagnostic test ordering: a factorial randomised scenario-based study

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625001136493
Enrollment
307
Registered
2025-10-16
Start date
2026-01-19
Completion date
2026-03-11
Last updated
2026-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study is investigating whether providing different types of information about the costs of a diagnostic test influences ICU doctors’ test-ordering behaviour. You are eligible for this study if you are a registered medical practitioner and have worked in an adult or paediatric ICU in Australia or New Zealand in the previous 24 months. Taking part in this study will involve reading some information about the costs associated with diagnostic testing and a hypothetical scenario describing a patient commonly seen in ICUs. You will then be asked to complete an online questionnaire about which tests you would request for the patient in the scenario and provide some background information about yourself. The findings of this study will inform future projects aiming to improve appropriate testing in the ICU.

Interventions

In this study, two interventions are being evaluated: type of cost information (two levels, financial vs environmental) and way of presenting the cost information (two levels, all doctors in the unit (collective action) vs individual doctor (no collective action)). Participants will be randomised 1:1:1:1:1 to receive one of five hypothetical scenarios that contain these different types of information about the costs associated with diagnostic tests in the ICU. The different types of informati

In this study, two interventions are being evaluated: type of cost information (two levels, financial vs environmental) and way of presenting the cost information (two levels, all doctors in the unit (collective action) vs individual doctor (no collective action)). Participants will be randomised 1:1:1:1:1 to receive one of five hypothetical scenarios that contain these different types of information about the costs associated with diagnostic tests in the ICU. The different types of information presented in the five scenarios are: 1. financial costs incurred by an individual doctor 2. financial costs incurred by all doctors in the unit (collective action) 3. environmental costs incurred by an individual doctor 4. environmental costs incurred by all doctors in the unit (collective action) 5. no cost information (control group) Financial costs are presented as either the indicative dollar amount that would be saved if an individual doctor did not perform a set of routine tests (full blood count, electrolytes/urea/creatinine and chest x-ray) on three patients each day for one week (no collective action) or the indicative dollar amount that would be saved if all doctors working in the ICU did not perform a set of routine tests on three patients each day for one year (collective action). Environmental costs are presented as either the indicative amount of carbon emissions that would be saved if an individual doctor did not perform a set of routine tests (full blood count, electrolytes/urea/creatinine and chest x-ray) on three patients each day for one week (no collective action) or the indicative amount of carbon emissions that would be saved if all doctors working in the ICU did not perform a set of routine tests on three patients each day for one year (collective action). Participants will then be presented with the same hypothetical clinical scenario describing a patient in the ICU and asked which tests (if any) they would order for that patient. All information is provided as text via the survey platform REDCap and participants can access the survey on any device connected to the internet. Reading the study information and scenario and responding to the online questionnaire will take approximately 10 minutes.

Sponsors

The University of Sydney
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

To be included in the trial participants must be: 1. a registered medical practitioner 2. have worked in an adult or paediatric ICU in Australia or New Zealand in the previous 24 months

Exclusion criteria

Nil

Outcome results

None listed

Source: ANZCTR · Data processed: Aug 31, 2026