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1دورية أكاديمية
المؤلفون: Leep Hunderfund, Andrea N, Dyrbye, Liselotte N, Starr, Stephanie R, Mandrekar, Jay, Tilburt, Jon C, George, Paul, Baxley, Elizabeth G, Gonzalo, Jed D, Moriates, Christopher, Goold, Susan D, Carney, Patricia A, Miller, Bonnie M, Grethlein, Sara J, Fancher, Tonya L, Wynia, Matthew K, Reed, Darcy A
المصدر: BMC Medical Education, vol 18, iss 1
مصطلحات موضوعية: Health Services, Clinical Research, Generic health relevance, Adult, Age Factors, Animals, Attitude of Health Personnel, Cost Control, Cross-Sectional Studies, Decision Making, Education, Medical, Female, Health Care Costs, Humans, Male, Mice, Middle Aged, Physician's Role, Physicians, Students, United States, Cost-conscious care, High value cost-conscious care, High value care, Value-based health care, Healthcare costs, Undergraduate medical education, National survey, Cohort effect
الوصف: BackgroundThe success of initiatives intended to increase the value of health care depends, in part, on the degree to which cost-conscious care is endorsed by current and future physicians. This study aimed to first analyze attitudes of U.S. physicians by age and then compare the attitudes of physicians and medical students.MethodsA paper survey was mailed in mid-2012 to 3897 practicing physicians randomly selected from the American Medical Association Masterfile. An electronic survey was sent in early 2015 to all 5,992 students at 10 U.S. medical schools. Survey items measured attitudes toward cost-conscious care and perceived responsibility for reducing healthcare costs. Physician responses were first compared across age groups (30-40 years, 41-50 years, 51-60 years, and > 60 years) and then compared to student responses using Chi square tests and logistic regression analyses (controlling for sex).ResultsA total of 2,556 physicians (65%) and 3395 students (57%) responded. Physician attitudes generally did not differ by age, but differed significantly from those of students. Specifically, students were more likely than physicians to agree that cost to society should be important in treatment decisions (p < 0.001) and that physicians should sometimes deny beneficial but costly services (p < 0.001). Students were less likely to agree that it is unfair to ask physicians to be cost-conscious while prioritizing patient welfare (p < 0.001). Compared to physicians, students assigned more responsibility for reducing healthcare costs to hospitals and health systems (p < 0.001) and less responsibility to lawyers (p < 0.001) and patients (p < 0.001). Nearly all significant differences persisted after controlling for sex and when only the youngest physicians were compared to students.ConclusionsPhysician attitudes toward cost-conscious care are similar across age groups. However, physician attitudes differ significantly from medical students, even among the youngest physicians most proximate to ...
وصف الملف: application/pdf
العلاقة: qt9b62t4jw; https://escholarship.org/uc/item/9b62t4jwTest
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2دورية أكاديمية
المؤلفون: Leep Hunderfund, Andrea N, Dyrbye, Liselotte N, Starr, Stephanie R, Mandrekar, Jay, Tilburt, Jon C, George, Paul, Baxley, Elizabeth G, Gonzalo, Jed D, Moriates, Christopher, Goold, Susan D, Carney, Patricia A, Miller, Bonnie M, Grethlein, Sara J, Fancher, Tonya L, Wynia, Matthew K, Reed, Darcy A
المصدر: BMC medical education, vol 18, iss 1
مصطلحات موضوعية: Animals, Humans, Mice, Cross-Sectional Studies, Attitude of Health Personnel, Physician's Role, Decision Making, Age Factors, Education, Medical, Students, Adult, Middle Aged, Physicians, Cost Control, Health Care Costs, United States, Female, Male, Cohort effect, Cost-conscious care, Generational differences, High value care, High value cost-conscious care, National survey, Undergraduate medical education, Value-based health care, Medical Informatics, Public Health and Health Services, Curriculum and Pedagogy
الوصف: BackgroundThe success of initiatives intended to increase the value of health care depends, in part, on the degree to which cost-conscious care is endorsed by current and future physicians. This study aimed to first analyze attitudes of U.S. physicians by age and then compare the attitudes of physicians and medical students.MethodsA paper survey was mailed in mid-2012 to 3897 practicing physicians randomly selected from the American Medical Association Masterfile. An electronic survey was sent in early 2015 to all 5,992 students at 10 U.S. medical schools. Survey items measured attitudes toward cost-conscious care and perceived responsibility for reducing healthcare costs. Physician responses were first compared across age groups (30-40 years, 41-50 years, 51-60 years, and > 60 years) and then compared to student responses using Chi square tests and logistic regression analyses (controlling for sex).ResultsA total of 2,556 physicians (65%) and 3395 students (57%) responded. Physician attitudes generally did not differ by age, but differed significantly from those of students. Specifically, students were more likely than physicians to agree that cost to society should be important in treatment decisions (p < 0.001) and that physicians should sometimes deny beneficial but costly services (p < 0.001). Students were less likely to agree that it is unfair to ask physicians to be cost-conscious while prioritizing patient welfare (p < 0.001). Compared to physicians, students assigned more responsibility for reducing healthcare costs to hospitals and health systems (p < 0.001) and less responsibility to lawyers (p < 0.001) and patients (p < 0.001). Nearly all significant differences persisted after controlling for sex and when only the youngest physicians were compared to students.ConclusionsPhysician attitudes toward cost-conscious care are similar across age groups. However, physician attitudes differ significantly from medical students, even among the youngest physicians most proximate to ...
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3دورية أكاديمية
المؤلفون: Leep Hunderfund, Andrea N, Dyrbye, Liselotte N, Starr, Stephanie R, Mandrekar, Jay, Tilburt, Jon C, George, Paul, Baxley, Elizabeth G, Gonzalo, Jed D, Moriates, Christopher, Goold, Susan D, Carney, Patricia A, Miller, Bonnie M, Grethlein, Sara J, Fancher, Tonya L, Wynia, Matthew K, Reed, Darcy A
المصدر: BMC medical education, vol 18, iss 1
مصطلحات موضوعية: Animals, Humans, Mice, Cross-Sectional Studies, Attitude of Health Personnel, Physician's Role, Decision Making, Age Factors, Education, Medical, Students, Adult, Middle Aged, Physicians, Cost Control, Health Care Costs, United States, Female, Male, Cohort effect, Cost-conscious care, Generational differences, High value care, High value cost-conscious care, National survey, Undergraduate medical education, Value-based health care, Health Services, Clinical Research, Generic health relevance
الوصف: BackgroundThe success of initiatives intended to increase the value of health care depends, in part, on the degree to which cost-conscious care is endorsed by current and future physicians. This study aimed to first analyze attitudes of U.S. physicians by age and then compare the attitudes of physicians and medical students.MethodsA paper survey was mailed in mid-2012 to 3897 practicing physicians randomly selected from the American Medical Association Masterfile. An electronic survey was sent in early 2015 to all 5,992 students at 10 U.S. medical schools. Survey items measured attitudes toward cost-conscious care and perceived responsibility for reducing healthcare costs. Physician responses were first compared across age groups (30-40 years, 41-50 years, 51-60 years, and > 60 years) and then compared to student responses using Chi square tests and logistic regression analyses (controlling for sex).ResultsA total of 2,556 physicians (65%) and 3395 students (57%) responded. Physician attitudes generally did not differ by age, but differed significantly from those of students. Specifically, students were more likely than physicians to agree that cost to society should be important in treatment decisions (p < 0.001) and that physicians should sometimes deny beneficial but costly services (p < 0.001). Students were less likely to agree that it is unfair to ask physicians to be cost-conscious while prioritizing patient welfare (p < 0.001). Compared to physicians, students assigned more responsibility for reducing healthcare costs to hospitals and health systems (p < 0.001) and less responsibility to lawyers (p < 0.001) and patients (p < 0.001). Nearly all significant differences persisted after controlling for sex and when only the youngest physicians were compared to students.ConclusionsPhysician attitudes toward cost-conscious care are similar across age groups. However, physician attitudes differ significantly from medical students, even among the youngest physicians most proximate to .
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4دورية أكاديمية
المؤلفون: Leep Hunderfund, Andrea N, Dyrbye, Liselotte N, Starr, Stephanie R, Mandrekar, Jay, Tilburt, Jon C, George, Paul, Baxley, Elizabeth G, Gonzalo, Jed D, Moriates, Christopher, Goold, Susan D, Carney, Patricia A, Miller, Bonnie M, Grethlein, Sara J, Fancher, Tonya L, Wynia, Matthew K, Reed, Darcy A
المصدر: BMC medical education, vol 18, iss 1
مصطلحات موضوعية: Animals, Humans, Mice, Cross-Sectional Studies, Attitude of Health Personnel, Physician's Role, Decision Making, Age Factors, Education, Medical, Students, Adult, Middle Aged, Physicians, Cost Control, Health Care Costs, United States, Female, Male, Cohort effect, Cost-conscious care, Generational differences, High value care, High value cost-conscious care, National survey, Undergraduate medical education, Value-based health care, Medical Informatics, Public Health and Health Services, Curriculum and Pedagogy
الوصف: BackgroundThe success of initiatives intended to increase the value of health care depends, in part, on the degree to which cost-conscious care is endorsed by current and future physicians. This study aimed to first analyze attitudes of U.S. physicians by age and then compare the attitudes of physicians and medical students.MethodsA paper survey was mailed in mid-2012 to 3897 practicing physicians randomly selected from the American Medical Association Masterfile. An electronic survey was sent in early 2015 to all 5,992 students at 10 U.S. medical schools. Survey items measured attitudes toward cost-conscious care and perceived responsibility for reducing healthcare costs. Physician responses were first compared across age groups (30-40 years, 41-50 years, 51-60 years, and > 60 years) and then compared to student responses using Chi square tests and logistic regression analyses (controlling for sex).ResultsA total of 2,556 physicians (65%) and 3395 students (57%) responded. Physician attitudes generally did not differ by age, but differed significantly from those of students. Specifically, students were more likely than physicians to agree that cost to society should be important in treatment decisions (p < 0.001) and that physicians should sometimes deny beneficial but costly services (p < 0.001). Students were less likely to agree that it is unfair to ask physicians to be cost-conscious while prioritizing patient welfare (p < 0.001). Compared to physicians, students assigned more responsibility for reducing healthcare costs to hospitals and health systems (p < 0.001) and less responsibility to lawyers (p < 0.001) and patients (p < 0.001). Nearly all significant differences persisted after controlling for sex and when only the youngest physicians were compared to students.ConclusionsPhysician attitudes toward cost-conscious care are similar across age groups. However, physician attitudes differ significantly from medical students, even among the youngest physicians most proximate to ...
