A four-country survey of public attitudes towards restricting healthcare costs by limiting the use of high-cost medical interventions.

BMJ Open
Robert J BlendonMinah Kang Kim

Abstract

To discern how the public in four countries, each with unique health systems and cultures, feels about efforts to restrain healthcare costs by limiting the use of high-cost prescription drugs and medical/surgical treatments. Cross-sectional survey. Adult populations in Germany, Italy, the UK and the USA. 2517 adults in the four countries. A questionnaire survey conducted by telephone (landline and cell) with randomly selected adults in each of the four countries. Support for different rationales for not providing/paying for high-cost prescription drugs/medical or surgical treatments, measured in the aggregate and using four case examples derived from actual decisions. Measures of public attitudes about specific policies involving comparative effectiveness and cost-benefit decision making. The survey finds support among publics in four countries for decisions that limit the use of high-cost prescription drugs/treatments when some other drug/treatment is available that works equally well but costs less. The survey finds little public support, either in individual case examples or when asked in the aggregate, for decisions in which prescription drugs/treatments are denied on the basis of cost or various definitions of benefits. Th...Continue Reading

References

May 29, 2000·Health Policy·R Busse
Sep 15, 2005·Health Economics·George FranceAndrea Donatini
May 23, 2008·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Bengt Jönsson
Jun 16, 2009·The Milbank Quarterly·Kalipso ChalkidouBertrand Xerri
Oct 6, 2010·Health Affairs·John K Iglehart
May 6, 2011·BMJ : British Medical Journal·Douglas Kamerow

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Citations

Jul 25, 2013·Journal of General Internal Medicine·Marion DanisElizabeth McGlynn
Dec 27, 2015·Journal of Medical Economics·Marchetti Monia
May 30, 2019·The New England Journal of Medicine·Robert J BlendonCaitlin L McMurtry

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