Patient Attitudes Regarding the Cost of Illness in Cancer Care

Meisenberg, Barry; Varner, Ashley; Ellis, Erin M.; Ebner, Stephen; Moxley, John H.; Siegrist, Erika; Weng, David E.

doi:10.1634/theoncologist.2015-0168

Cited by 59 publications

(58 citation statements)

References 29 publications

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“…Twelve papers from 10 distinct studies investigated patient attitude regarding cost communication 10, 13-23 (Table 1, Supplemental Table 2). Nearly all studies took place in the US, except for an Australian study.…”

Section: Resultsmentioning

confidence: 99%

“…10, 13, 14, 17-19, 22, 23 The mean (weighted) and median of the proportion of patients who were surveyed or interviewed and expressed a positive attitude toward cost discussions was 60% and 61%, respectively, and the range was 20% 23 to 96% 22 . Of those, six reported that more than half of study participants were in favor of cost communication.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies (ten papers) inquired whether cancer patients actually had discussed costs with their physicians. 10, 13-17, 20-23 The mean (weighted) and median of the proportion of patients who had such conversations was 27% and 25%, respectively, and the range was 14% 10 to 58%. 20 All but one study reported less than one-third of their study participants had discussed costs with their physicians.…”

Section: Resultsmentioning

confidence: 99%

“…In our review, questions related to the topic of “patient attitude” can be broadly categorized into two types: those that asked whether patients “want to” or “would like to” discuss cost with their doctors 13, 14, 18, 19 vs. those that asked whether patients “should be” or “wished to be” informed. 10, 17, 22, 23 Studies asking the former type of questions reported percentages in the 50-60% range, whereas those with the latter type tended to report high percentages, except for the 20% reported in one study that asked whether patients should receive cost information from their oncologists. 23 This observation suggests that to some extent the reported percentages were influenced by the framing of the questions.…”

Section: Discussionmentioning

confidence: 98%

“…10, 17, 22, 23 Studies asking the former type of questions reported percentages in the 50-60% range, whereas those with the latter type tended to report high percentages, except for the 20% reported in one study that asked whether patients should receive cost information from their oncologists. 23 This observation suggests that to some extent the reported percentages were influenced by the framing of the questions. The literature also provided some clue as to why some patients did not want to discuss costs with their physicians.…”

Section: Discussionmentioning

confidence: 98%

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A review of cost communication in oncology: Patient attitude, provider acceptance, and outcome assessment

Shih

Chien

2016

Cancer

116

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The American Society of Clinical Oncology released its first Guidance Statement on Cost of Cancer Care in August 2009, affirming patient-physician cost communication was a critical component of high-quality care. This forward-thinking recommendation has grown increasingly important in oncology practice today as the high costs of cancer care impose tremendous financial burden to patients, their families, and the healthcare system. In this review article, we conducted a literature search using Pubmed and Web of Science to identify articles covering three topics related to patient-physician cost communication: patient attitude, physician acceptance, and the associated outcomes. We identified fifteen papers from twelve distinct studies. While the majority of articles we reviewed on patient attitude suggested cost communication is desired by more than half of patients in the respective study cohorts, less than one-third of patients in these studies had actually discussed costs with their physicians. The literature on physician acceptance indicated that while 75% of physicians considered discussing out-of-pocket costs with patients their responsibility, less than 30% felt comfortable with such communication. When asked about whether cost communication actually took place in their practice, percentages reported by physicians varied widely, ranging from < 10% to > 60%. The data suggested that cost communication was associated with improved patient satisfaction, lower out-of-pocket expenses and a higher likelihood of medication non-adherence; none of these studies established causality. Both patients and physicians expressed a strong need for accurate, accessible, and transparent cost information.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

See 3 more Smart Citations

A review of cost communication in oncology: Patient attitude, provider acceptance, and outcome assessment

Shih

Chien

2016

Cancer

116

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Parent Preferences for Transparency of Their Child’s Hospitalization Costs

et al. 2021

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Key Points Question What are the preferences and experiences of parents regarding cost transparency in the care of their hospitalized child? Findings In this cross-sectional survey study of 526 parents of hospitalized children, 398 (76%) believed it was important to know the costs of their child’s care, and 397 (75%) wanted a hospital employee to discuss these costs. However, only 36 parents (7%) reported having a cost discussion during admission. Meaning These findings suggest that most families desire cost transparency in the care of their hospitalized child, but cost conversations rarely happen in the inpatient setting.

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