Responsibilities, Strategies, and Practice Factors in Clinical Cost Conversations: a US Physician Survey
| Autor: | Timothy J. Beebe, Sarah M. Jenkins, Jon C. Tilburt, Susan Dorr Goold, Ryan M. Antiel, Matthew K. Wynia, Matthew DeCamp, Joel E. Pacyna, Mark Liebow, Bjorg Thorsteinsdottir, Marion Danis, Kandace A. Lackore, Michael Grover, Lindsay Riordan, Rahma Warsame |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cost Control Attitude of Health Personnel media_common.quotation_subject Psychological intervention MEDLINE Specialty 01 natural sciences 03 medical and health sciences 0302 clinical medicine Physicians Surveys and Questionnaires Health care Internal Medicine medicine Humans 030212 general & internal medicine 0101 mathematics health care economics and organizations Original Research media_common Enthusiasm business.industry Communication 010102 general mathematics Capsule Commentary Cross-Sectional Studies Physician survey Family medicine Scale (social sciences) business Cost of care |
| Zdroj: | J Gen Intern Med |
| ISSN: | 1525-1497 0884-8734 |
| DOI: | 10.1007/s11606-020-05807-0 |
| Popis: | BACKGROUND: Physicians play a key role in mitigating and managing costs in healthcare which are rising. OBJECTIVE: Conduct a cross-sectional survey in 2017, comparing results to a 2012 survey to understand US physicians’ evolving attitudes and strategies concerning healthcare costs. PARTICIPANTS: Random sample of 1200 US physicians from the AMA Masterfile. MEASURES: Physician views on responsibility for costs of care, enthusiasm for cost-saving strategies, cost-consciousness scale, and practice strategies on addressing cost. KEY RESULTS: Among 1200 physicians surveyed in 2017, 489 responded (41%). In 2017, slightly more physicians reported that physicians have a major responsibility for addressing healthcare costs (32% vs. 27%, p = 0.03). In 2017, more physicians attributed “major responsibility” for addressing healthcare costs to pharmaceutical companies (68% vs. 56%, p 70%). After adjusting for specialty, political affiliation, practice setting, age, and gender, only democratic/independent affiliation remained a significant predictor of cost-consciousness. CONCLUSIONS AND RELEVANCE: US physicians increasingly attribute responsibility for rising healthcare costs to organizations and express less enthusiasm for strategies that increase patient out-of-pocket cost. Interventions that focus on physician knowledge and communication strategies regarding cost of care may be helpful. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11606-020-05807-0) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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