ArticleBMC health services research2015
A qualitative study of physician perspectives of cost-related communication and patients' financial burden with managing chronic disease.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Capturing Financial Burden Concerns in an ALS Multidisciplinary Clinic.Muscle & nerve · 2026Article
- The Socioeconomic Impact of Transport Costs for Adult Patients Requiring Haemodialysis: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2024Article
- Patient, provider, and nurse preferences of patient reported outcomes (PRO) and side effect management during cancer treatment of underrepresented racial and ethnic minority groups, rural and economically disadvantaged patients: a mixed methods study.Cancer causes & control : CCC · 2022Article
- Milk Consumption and Respiratory Function in Asthma Patients: NHANES Analysis 2007-2012.Nutrients · 2021Article
- Responsibilities, Strategies, and Practice Factors in Clinical Cost Conversations: a US Physician Survey.Journal of general internal medicine · 2020Article
- Cost-related delay in filling prescriptions and health care ratings among medicare advantage recipients.Medicine · 2019Observational
- Conversations About Financial Issues in Routine Oncology Practices: A Multicenter Study.Journal of oncology practice · 2019Article
- Self-Identified Social Determinants of Health during Transitions of Care in the Medically Underserved: a Narrative Review.Journal of general internal medicine · 2018Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient financial burden with chronic disease poses significant health risks, yet it remains outside the scope of clinical visits. Little is known about how physicians perceive their patients' health-related financial burden in the context of primary care. The purpose of this study was to describe physician experiences with patients' financial burden while managing chronic disease and the communication of these issues.
methodsIn November 2013, four focus groups were conducted in an academic medical center. A convenience sample of 29 internal and family medicine resident physicians was used in this study. A semi-structured interview protocol was employed by trained facilitators. Coded transcripts were analyzed for themes regarding physicians' experiences with identifying, managing, and communicating financial burden with their patients in the context of primary care.
resultsMajor themes identified were 1) patient financial burden with chronic care is visible to physicians, 2) patient's financial burden with chronic care and discussing these issues is important to physicians, 3) ability to identify patients who perceive financial burden is imperfect, 4) communication of financial burden with patients is complex and difficult to navigate, 5) strategies utilized to address concerns are not always generalizable, and 6) physicians have ideas for widespread change to make these conversations easier for them.
conclusionAwareness of physician perspectives in identifying and addressing their patients' disease-related financial burden may better equip researchers and medical educators to develop interventions that aid care teams in better understanding these patient concerns to promote compliance with treatment recommendations.
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