作者
Jon C Tilburt, Matthew K Wynia, Robert D Sheeler, Bjorg Thorsteinsdottir, Katherine M James, Jason S Egginton, Mark Liebow, Samia Hurst, Marion Danis, Susan Dorr Goold
发表日期
2013/7/24
期刊
Jama
卷号
310
期号
4
页码范围
380-389
出版商
American Medical Association
简介
Importance
Physicians’ views about health care costs are germane to pending policy reforms.
Objective
To assess physicians’ attitudes toward and perceived role in addressing health care costs.
Design, Setting, and Participants
A cross-sectional survey mailed in 2012 to 3897 US physicians randomly selected from the AMA Masterfile.
Main Outcomes and Measures
Enthusiasm for 17 cost-containment strategies and agreement with an 11-measure cost-consciousness scale.
Results
A total of 2556 physicians responded (response rate = 65%). Most believed that trial lawyers (60%), health insurance companies (59%), hospitals and health systems (56%), pharmaceutical and device manufacturers (56%), and patients (52%) have a “major responsibility” for reducing health care costs, whereas only 36% reported that practicing physicians have “major responsibility.” Most were “very enthusiastic” for “promoting continuity …
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