ArticleHealth communication2019
The Impact of Cost Conversations on the Patient-Physician Relationship.
Article in Health communication, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
22 citing papers in PubMed.
- Not all cost conversations are the same: An exploration of potential value in cost conversations during Atrial fibrillation treatment decision making.Patient education and counseling · 2024Trial
- Communication of Cost in Thyroidectomy: A Mixed-Methods Analysis of Financial Toxicity.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Treatment Burden Among Older Adults in the United States, 2022.Journal of the American Geriatrics Society · 2025Article
- Financial toxicity of oral chemotherapy in patients with primary brain tumors.Neuro-oncology practice · 2025Article
- Utilizing Kern's Six-Step Approach to Develop a Novel Curriculum for Enhancing Pediatric Resident Understanding of Health Care Costs.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Examining the Relationship Between the Quality of Cost Conversations and Patient Satisfaction in the Oral Health Setting.Journal of patient experience · 2025Article
- There's no place like home: optimizing the antepartum inpatient experience.Maternal health, neonatology and perinatology · 2024Article
- The potential impact of introducing a cost tool to facilitate cost-of-care conversations in routine OB care: Lessons from the CONTINUE pilot study.PEC innovation · 2023Article
- Eliminating Health Disparities in Atrial Fibrillation, Heart Failure, and Dyslipidemia: A Path Toward Achieving Pharmacoequity.Current atherosclerosis reports · 2023Review
- Challenges and solutions to cancer-related financial toxicity according to Australian health professionals: qualitative results from a national survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Patients want to talk about their out-of-pocket costs-Can real-time benefit tools help?Journal of the American Geriatrics Society · 2023Article
- How Should Cost-Informed Goals of Care Decisions Be Facilitated at Life's End?AMA journal of ethics · 2022Article
- Deprescribing medications: Do out-of-pocket costs have a role?Journal of the American Geriatrics Society · 2022Article
- Effects of Real-time Prescription Benefit Recommendations on Patient Out-of-Pocket Costs: A Cluster Randomized Clinical Trial.JAMA internal medicine · 2022Article
- Oncologists' Attitudes Toward Cancer Care Affordability.JAMA network open · 2022Article
- Development and pilot testing of a conversation aid to support the evaluation of patients with thyroid nodules.Clinical endocrinology · 2022Observational
- Accuracy of Physician Estimates of Out-of-Pocket Costs for Medication Filling.JAMA network open · 2021Article
- Cost health literacy as a physician skill-set: the relationship between oncologist reported knowledge and engagement with patients on financial toxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Perspectives on the Costs of Cancer Care: A Survey of the American Society of Breast Surgeons.Annals of surgical oncology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Previous research has suggested that fear of harm to the patient-physician relationship is an important barrier to conversations about cost of care. However, few experimental studies have investigated the effects of cost of care conversations on the patient-physician relationship, particularly from the patient's perspective. In the current research, we take an experimental approach to investigate patients' attitudes and preferences for a hypothetical physician who discusses cost versus one who does not. Across three studies, using data from both the general population and cancer patients, we find that people prefer a hypothetical physician who discusses cost over one who does not (Pilot Study, Studies 1 and 2). In addition, we find that people use cost information to inform their hypothetical treatment decisions without changing their attitudes toward the physician who includes this information (Study 1). Finally, we examine how and when cost information compares to more traditional medical information (e.g., side effects; Study 2). We discuss the implications of this research for cost communications and the patient-physician relationship, highlighting that cost conversations may not be as harmful as previously thought.
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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.