Responsibilities, Strategies, and Practice Factors in Clinical Cost Conversations: a US Physician Survey

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 Rando...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2020-07, Vol.35 (7), p.1971-1978
Main Authors: Warsame, Rahma, Riordan, Lindsay, Jenkins, Sarah, Lackore, Kandace, Pacyna, Joel, Antiel, Ryan, Beebe, Timothy, Liebow, Mark, Thorsteinsdottir, Bjorg, Grover, Michael, Wynia, Matthew, Goold, Susan Dorr, DeCamp, Matthew, Danis, Marion, Tilburt, Jon
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Communication
Consciousness
Containment
Cost Control
Costs
Cross-Sectional Studies
Health care
Humans
Internal Medicine
Medicine
Medicine & Public Health
Original Research
Patients
Physicians
Political identity
Polls & surveys
Surveys and Questionnaires
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Summary: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  
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-020-05807-0