Friday, November 19, 2004
A knowledge gap in costs is harming patients
["Bearing the cost of medical treatment," NCPA Daily Policy Digest, 19 November 2004.]
Neither doctors nor patients tied into third-party payment insurance have the incentive to research costs the way that they would if patients were paying for care directly. The result is a "knowledge gap" that is unfortunately leading to negative outcomes. The answer is a shift to consumer-driven care:
Doctors need to know how their patients bear the cost of medical treatment in order to reach positive health outcomes, says Rebecca Voelker, writing in the Journal of the American Medical Association.
Currently, doctors know very little about their patients’ ability to pay for the medications they are being prescribed. One study finds that about 65 percent of physicians never discussed out-of-pocket costs with their patients.
Serious health consequences can result because patients will cut back on their medication either by skipping doses or splitting pills if they don’t have enough money. Voelker observes patients rarely discuss financial matters with their physician:
* About two-thirds of individuals who cut back on their medication due to its expense never tell their physician in advance.
* About one-third of individuals who cut back on their medication never even discuss medication cost with their physician; in two-thirds of these cases, their doctors never bothered to ask about their ability to pay.
Contributing to the problem is that most doctors do not know the cost of common prescription drugs, with many of them underestimating the financial burden.
As a result, the effective treatment of illnesses may be undermined due to doctors misinterpreting therapeutic failure for reasons other than the patient cutting back on their medication.
[Greg Scandlen, "Choice is revolutionizing health care," The Wichita Eagle, 28 September 2004.]
["Bearing the cost of medical treatment," NCPA Daily Policy Digest, 19 November 2004.]
Neither doctors nor patients tied into third-party payment insurance have the incentive to research costs the way that they would if patients were paying for care directly. The result is a "knowledge gap" that is unfortunately leading to negative outcomes. The answer is a shift to consumer-driven care:
Doctors need to know how their patients bear the cost of medical treatment in order to reach positive health outcomes, says Rebecca Voelker, writing in the Journal of the American Medical Association.
Currently, doctors know very little about their patients’ ability to pay for the medications they are being prescribed. One study finds that about 65 percent of physicians never discussed out-of-pocket costs with their patients.
Serious health consequences can result because patients will cut back on their medication either by skipping doses or splitting pills if they don’t have enough money. Voelker observes patients rarely discuss financial matters with their physician:
* About two-thirds of individuals who cut back on their medication due to its expense never tell their physician in advance.
* About one-third of individuals who cut back on their medication never even discuss medication cost with their physician; in two-thirds of these cases, their doctors never bothered to ask about their ability to pay.
Contributing to the problem is that most doctors do not know the cost of common prescription drugs, with many of them underestimating the financial burden.
As a result, the effective treatment of illnesses may be undermined due to doctors misinterpreting therapeutic failure for reasons other than the patient cutting back on their medication.
[Greg Scandlen, "Choice is revolutionizing health care," The Wichita Eagle, 28 September 2004.]
Comments:
Post a Comment
