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Costs are a "Side Effect" By Rebecca Weintraub, MD | 05 Nov, 2013

New York Times piece by Dr Peter Ubel argues that we should be upfront, and cost must be discussed, like any label or side effect of a procedure or medication.

Do you share data on costs with patients, on discharge?
Or when making a medication change?

http://www.nytimes.com/2013/11/04/opinion/doctor-first-tell-me-what-it-costs....

Replies

 

Neel Shah Moderator Replied at 6:12 PM, 5 Nov 2013

It seems that e-prescribing has made it easier to understand formularies and choose affordable (routine) medications in the outpatient setting, but we have a long way to go in order to provide transparent pricing information to patients in other dimensions (diagnostic testing, procedures, etc.)

70% of physicians either moderately or strongly agree that decision-support tools that show costs would be helpful for their practice (Tilburt et al, JAMA 2013 - table 4)

http://jama.jamanetwork.com/article.aspx?articleid=1719740

John Hixson Replied at 1:40 PM, 6 Nov 2013

Agree completely, and I do increasingly discuss cost ramifications (along with potential benefit of course) with my patients. The biggest barrier is probably the massive cultural shift this will require, but I would also point out that most physicians aren't even aware of the costs. I do believe that pricing transparency includes educating the physicians....as Dr. Shah referencs above.

This Community is Archived.

While this community is no longer active, we invite you to review and recommend past posts and resources. Membership for this community is closed, but we hope you'll join us in one of the many other communities on GHDonline.

Moderators of Costs of Care and GHDonline staff