Discussing patients' insurance and out-of-pocket expenses during GPs' consultations

BMC Health Services Research
Aafke VictoorJ D de Jong

Abstract

Generally, a significant portion of healthcare spending consists of out-of-pocket (OOP) expenses. Patients indicate that, in practice, there are often some OOP expenses, incurred when they receive medical care, which are unexpected for them and should have been taken into account when deciding on a course of action. Patients are often reliant on their GP and may, therefore, expect their GP to provide them with information about the costs of treatment options, taking into consideration their individual insurance plan. This also applies to the Netherlands, where OOP expenses increased rapidly over the years. In the current study, we observed the degree to which matters around patients' insurance and OOP expenses are discussed in the Netherlands, using video recordings of consultations between patients and GPs. Video recordings were collected from patient-GP consultations in 2015-2016. In 2015, 20 GPs and 392 patients from the eastern part of the Netherlands participated. In 2016, another eight GPs and 102 patients participated, spread throughout the Netherlands. The consultations were coded by three observers using an observation protocol. We achieved an almost perfect inter-rater agreement (Kappa = .82). In total, 475 consultati...Continue Reading

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Citations

Apr 3, 2021·Breast Cancer Research : BCR·Hsin-Yi YangYu-Chen Hsu
Jun 6, 2021·The Patient·Thomas G PoderMaude Laberge

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