Talking about money: how primary care physicians respond to a patient's question about financial incentives

Journal of General Internal Medicine
Steven D Pearson, Tracey Hyams

Abstract

Patients sometimes express concern about the influence of "perverse" financial incentives on their care. We recruited a convenience sample of 101 primary care physicians and obtained information on their compensation. Then we audiotaped them as they role-played a response to a videotaped mock patient who asked them how they were paid and how their method of compensation affected clinical decisions. Overall, 36% of the physicians did not give enough information in their role-play response to allow an independent determination of how they were paid. Adopting a broad spectrum of attitudes and approaches, nearly every physician avoided discussing the role of incentives and stressed instead that he or she could be trusted under any circumstance.

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Citations

Nov 12, 2005·BMC Health Services Research·Benedicte Carlsen, Ole Frithjof Norheim
Mar 21, 2002·Journal of General Internal Medicine·Susan Dorr Goold
Sep 3, 2009·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Lance K Stell
Aug 27, 2016·Journal of General Internal Medicine·Katherine H SchiavoniAlyna T Chien
Feb 25, 2009·The Medical Journal of Australia·Martin H N TattersallKevin Gan

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