ArticleHealth affairs (Project Hope)2013
Focus groups highlight that many patients object to clinicians' focusing on costs.
Article in Health affairs (Project Hope), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Does Societal Cost Information Affect Patient Decision-Making in Carpal Tunnel Syndrome? A Randomized Controlled Trial.Hand (New York, N.Y.) · 2021Trial
- The Influence of Cost Information on Treatment Choice: A Mixed-Methods Study.The Journal of hand surgery · 2020Trial
- Presenting Cost and Efficiency Measures That Support Consumers to Make High-Value Health Care Choices.Health services research · 2018Trial
- Public Mistrust of the U.S. Health Care System's Profit Motives: Mixed-Methods Results from a Randomized Controlled Trial.Journal of general internal medicine · 2017Trial
- Design of a multiple criteria decision analysis framework for prioritizing high-impact health technologies in a regional health service.International journal of technology assessment in health care · 2024Article
- Impact of Cost Conversation on Decision-Making Outcomes.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Article
- Responsibilities, Strategies, and Practice Factors in Clinical Cost Conversations: a US Physician Survey.Journal of general internal medicine · 2020Article
- The Effect of Total Cost Information on Consumer Treatment Decisions: An Experimental Survey.Medical decision making : an international journal of the Society for Medical Decision Making · 2018Article
- Assessing the Oral Health Needs of African American Men in Low-Income, Urban Communities.American journal of men's health · 2018Article
- Article
- Patient and Family Involvement: A Discussion of Co-Led Redesign of Healthcare Services.Journal of participatory medicine · 2018Article
- Can Appealing to Patient Altruism Reduce Overuse of Health Care Services? An Experimental Survey.Journal of general internal medicine · 2017Article
- (Re)disclosing physician financial interests: rebuilding trust or making unreasonable burdens on physicians?Medicine, health care, and philosophy · 2017Article
- Treating, Fast and Slow: Americans' Understanding of and Responses to Low-Value Care.The Milbank quarterly · 2017Article
- How Primary Care Physicians Integrate Price Information into Clinical Decision-Making.Journal of general internal medicine · 2017Article
- The Language of Stewardship: Is the "Low-Value" Label Overused?Mayo Clinic proceedings · 2017Article
- Predictors of financial difficulties and work modifications among cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2016Article
- Patient-physician discussions about costs: definitions and impact on cost conversation incidence estimates.BMC health services research · 2016Article
- Patient and family engagement: a survey of US hospital practices.BMJ quality & safety · 2016Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Having patients weigh costs when making medical decisions has been proposed as a way to rein in health care spending. We convened twenty-two focus groups of people with insurance to examine their willingness to discuss health care costs with clinicians and consider costs when deciding among nearly comparable clinical options. We identified the following four barriers to patients' taking cost into account: a preference for what they perceive as the best care, regardless of expense; inexperience with making trade-offs between health and money; a lack of interest in costs borne by insurers and society as a whole; and noncooperative behavior characteristic of a "commons dilemma," in which people act in their own self-interest although they recognize that by doing so, they are depleting limited resources. Surmounting these barriers will require new research in patient education, comprehensive efforts to shift public attitudes about health care costs, and training to prepare clinicians to discuss costs with their patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.