Taking societal cost into clinical consideration: U.S. physicians' views

AJOB Empirical Bioethics
Alissa R StavigF A Curlin

Abstract

Recent campaigns (e.g., the American Board of Internal Medicine Foundation's Choosing Wisely) reflect the increasing role that physicians are expected to have in stewarding health care resources. We examine whether physicians believe they should pay attention to societal costs or refuse requests for costly interventions with little chance of patient benefit. We conducted a secondary analysis of data from a 2010 national survey of 2016 U.S. physicians sampled from the AMA Physician Masterfile. Criterion measures were agreement or disagreement with two survey items related to costs of care. We also examined whether physicians' practice and religious characteristics were associated with their responses. The adjusted response rate was 62% (1156/1878). Forty-seven percent of physicians agreed that physicians "should not consider the societal cost of medical care when caring for individual patients," whereas 69% agreed that physicians "should refuse requests from patients or their families for costly interventions that have little chance of benefitting the patient." Physicians in specialties that care for patients at the end of life were more supportive of refusing such costly interventions. We did not find consistent associations be...Continue Reading

References

Jun 1, 1992·Annals of Internal Medicine·D P Sulmasy
Mar 1, 1995·American Journal of Public Health·N A Christakis, D A Asch
Mar 21, 2000·Archives of Internal Medicine·D P SulmasyJ Hadley
Nov 30, 2000·Neurology·R G HollowayB L Lawyer
Feb 6, 2002·Annals of Internal Medicine·UNKNOWN ABIM Foundation. American Board of Internal MedicineUNKNOWN European Federation of Internal Medicine
Jul 21, 2004·Annals of Internal Medicine·Troyen A Brennan, Thomas H Lee
Apr 2, 2010·The New England Journal of Medicine·Molly Cooke
Jan 4, 2012·Annals of Internal Medicine·Lois Snyder, UNKNOWN American College of Physicians Ethics, Professionalism, and Human Rights Committee
Aug 7, 2013·JAMA : the Journal of the American Medical Association·Jon C TilburtSusan Dorr Goold
Jan 11, 2014·The Hastings Center Report·William T Branch
Jul 1, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel WolfsonLorie Slass
Aug 19, 2014·Journal of Pain and Symptom Management·Chris L SmyreFarr A Curlin
Dec 24, 2014·Journal of Critical Care·Robert M ArnoldJudith E Nelson
May 16, 2015·American Journal of Respiratory and Critical Care Medicine·Gabriel T BossletUNKNOWN Society of Critical Care
Jul 29, 2015·JAMA : the Journal of the American Medical Association·Harlan M KrumholzYun Wang
Nov 21, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Douglas J KooBarbara C Egan
Jan 10, 2016·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology· American College Of Medical Toxicology
Apr 4, 2016·Journal of Pain and Symptom Management·Derek D AyehFarr A Curlin
May 26, 2016·The New England Journal of Medicine·Martin F Shapiro
May 2, 2017·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Daniel J MorganDeborah Korenstein
Jul 12, 2017·Chest·Michael S PutmanJohn D Yoon
Jul 19, 2017·Journal of Medical Ethics·Thomas V CunninghamDouglas White

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

SE
Stata

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.