Survey Itema | Moderately or Strongly Agree, n (%)b | ||||||||
---|---|---|---|---|---|---|---|---|---|
Practicing physicians (n = 2556) | Medical students (n = 3395) | ||||||||
Age > 60 years (n = 411) | Age 51–60 years (n = 962) | Age 41–50 years (n = 833) | Age 30–40 years (n = 350) | p-value | All yearse(n = 3395) | p-value | |||
Unadjustedc | Adjusted for sexd | Unadjustedc | Adjusted for sexd | ||||||
Doctors are too busy to worry about the costs of tests and procedures. | 86/386 (22) | 217/921 (24) | 238/802 (30) | 112/342 (33) | < 0.001 | < 0.001 | 995/2947 (34) | < 0.001 | < 0.001 |
Trying to contain costs is the responsibility of every physician. | 334/383 (87) | 800/919 (87) | 659/798 (83) | 286/342 (84) | 0.03 | 0.06 | 2640/2932 (90) | < 0.001 | < 0.001 |
Physicians should take a more prominent role in limiting use of unnecessary tests. | 344/381 (90) | 825/922 (89) | 695/797 (87) | 298/342 (87) | 0.26 | 0.30 | 2896/3003 (96) | < 0.001 | < 0.001 |
Cost to society should be important in physician decisions to use or not to use an intervention. | 218/382 (57) | 492/919 (54) | 400/796 (50) | 197/342 (58) | 0.05 | 0.06 | 2062/2951 (70) | < 0.001 | < 0.001 |
Physicians should sometimes deny beneficial but costly services to certain patients because resources should go to other patients who need them more. | 60/381 (16) | 140/913 (15) | 119/794 (15) | 47/340 (14) | 0.90 | 0.03 | 1024/2987 (34) | < 0.001 | < 0.001 |
It is unfair to ask physicians to be cost-conscious and still keep the welfare of their patients foremost in their minds. | 147/383 (38) | 359/919 (39) | 359/794 (45) | 158/343 (46) | 0.01 | 0.02 | 887/2950 (30) | < 0.001 | < 0.001 |
Practicing cost-conscious care will undermine patients’ trust in physicians.f | 101/389 (26) | 255/913 (28) | 246/780 (32) | 102/327 (31) | 0.15 | 0.01 | 482/2931 (16) | < 0.001 | < 0.001 |
Physicians should be aware of the costs of the tests or treatments they recommend. | 297/384 (77) | 719/921 (78) | 608/798 (76) | 239/434 (70) | 0.02 | 0.003 | 2920/3000 (97) | N/Ag | N/Ag |
Physicians should try not to think about the cost to the health care system when making treatment decisions. | 156/386 (40) | 359/920 (39) | 354/800 (44) | 143/343 (42) | 0.17 | 0.27 | 652/2997 (22) | N/Ag | N/Ag |
Physicians should be solely devoted to individual patients’ best interests, even if that is expensive. | 299/383 (78) | 708/918 (77) | 623/797 (78) | 272/340 (80) | 0.75 | 0.78 | 2265/3005 (75) | 0.17 | 0.05 |
The cost of a test or medication is only important if the patient has to pay for it out of pocket. | 63/385 (16) | 126/921 (14) | 130/800 (16) | 68/343 (20) | 0.06 | 0.05 | 399/2951 (14) | 0.009 | 0.002 |