Influence of Patient Costs and Requests on Emergency Physician Decisionmaking

Annals of Emergency Medicine

Volumn 52, Issue 6, 2008, Pages

  Ballard, Dustin W ^a,b   Reed, Mary E ^b   Wang, Huihui ^b   Arroyo, Laura ^b   Benedetti, Nancy ^b   Hsu, John ^b  

^a KAISER PERMANENTE   (United States)

^b DIVISION OF RESEARCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; ASTHMA; CASE REPORT; CLINICAL DECISION MAKING; CLINICAL PRACTICE; DIAGNOSTIC TEST; DISEASE EXACERBATION; EMERGENCY PHYSICIAN; FEMALE; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH ECONOMICS; HUMAN; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; QUESTIONNAIRE; THORAX RADIOGRAPHY; UNITED STATES;

EID: 56249144830     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2008.03.001     Document Type: Article

References (39)

1. Robinson J.C. Renewed emphasis on consumer cost sharing in health insurance benefit design. Health Aff (Millwood) suppl (2002) 135-146
2. Cherkin D.C., Grothaus L., and Wagner E.H. The effect of office visit copayments on preventive care services in an HMO. Inquiry 27 (1990) 24-38
3. Cherkin D.C., Grothaus L., and Wagner E.H. The effect of office visit copayments on utilization in a health maintenance organization. Med Care 27 (1989) 1036-1045
4. O'Grady K.F., Manning W.G., Newhouse J.P., et al. The impact of cost-sharing on emergency department use. N Engl J Med 313 (1985) 484-490
5. The Insurance Experiment Group, and Newhouse J.P. Free for All?. Lessons From the RAND Health Insurance Experiment (1993), Harvard University Press, Cambridge, MA
6. Selby J.V., Fireman B.H., Lundstrom B.E., et al. Effect of a copayment on use of the emergency department in a health maintenance organization. N Engl J Med 334 (1996) 635-641
7. Hillman A.L., Pauly M.C., Escarce J.J., et al. Financial incentives and drug spending in managed care. Health Aff (Millwood) 18 (1999) 189-200
8. Rubin R.J., and Mendelson D.N. Cost-sharing in health insurance. N Engl J Med 333 (1995) 733-734
9. Zweifel P., and Manning W. Moral hazard and consumer incentives in health care. In: Culyer A., and Newhouse J. (Eds). Handbook of Health Economics (2000), Elsevier, Amsterdam, The Netherlands
10. Magid D.J., Koepsell N.R., Every J.S., et al. Absence of association between insurance copayments and delays in seeking emergency care among patients with myocardial infarction. N Engl J Med 336 (1997) 1722-1729
11. Hsu J., Price M., Brand R., et al. Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study. Health Serv Res 41 (2006) 1801-1820
12. Wharam J.F., Landon B.E., Galbraith A.A., et al. Emergency department use and subsequent hospitalizations among members of a high-deductible health plan. JAMA 297 (2007) 1093-1102
13. Marquis M.S. Consumers' knowledge about their health insurance coverage. Health Care Financ Rev 5 (1983) 65-80
14. Meredith L.S., Humphrey N., Orlando M., et al. Knowledge of health care benefits among patients with depression. Med Care 40 (2002) 338-346
15. Mickus M., Colenda C.C., and Hogan A.J. Knowledge of mental health benefits and preferences for type of mental health providers among the general public. Psychiatr Serv 51 (2000) 199-202
16. Ryan S.A., Millstein S.G., Kang M., et al. Adolescents' knowledge of their health insurance coverage. J Adolesc Health 22 (1998) 293-299
17. Hsu J., Reed M., Brand R., et al. Cost-sharing: patient knowledge and effects on seeking emergency department care. Med Care 42 (2004) 290-296
18. Wynia M.K., Cummins D.S., VanGeest J.B., et al. Physician manipulation of reimbursement rules for patients: between a rock and a hard place. JAMA 283 (2000) 1858-1865
19. Beach M.C., Meredith L.S., Halpern J., et al. Physician conceptions of responsibility to individual patients and distributive justice in health care. Ann Fam Med 3 (2005) 53-59
20. McCraig L.F., and Ly N. National Ambulatory Care Medical Survey: 2002 Emergency Department Summary (2004), US Dept of Health and Human Services, National Center for Health Statistics, Hyattsville, MD 1-36
21. Emond S.D., Camargo Jr. C.A., and Nowak R.M. 1997 National Asthma Education and Prevention Program: a practical summary for emergency physicians. Ann Emerg Med 31 (1998) 579-589
22. Gentile N.T., Ufberg J., Barnum M., et al. Guidelines reduce x-ray and blood gas utilization in acute asthma. Am J Emerg Med 21 (2003) 451-453
23. Findley L.J., and Sahn S.A. The value of chest roentgenograms in acute asthma in adults. Chest 80 (1981) 535-536
24. Tsai T.W., Gallagher E.J., Lombardi G., et al. Guidelines for the selective ordering of admission chest radiography in adult obstructive airway disease. Ann Emerg Med 22 (1993) 1854-1858
25. Blue Cross/Blue Shield Northern California online. [Blue Cross Web site]. http://www.bcbsnc.com/apps/cost-estimator/cost-comparison.jsp Accessed April 10, 2007
26. Institute of Medicine. Hospital-Based Emergency Care: At the Breaking Point (2006), National Academy Press, Washington, DC
27. Clancy C.M. Emergency departments in crisis: opportunities for research. Health Serv Res 42 (2007) xiii-xx
28. Billings J., Parikh N., and Mijanovic T. Emergency department use in New York City: a substitute for primary care. Issue Brief (2000) 1-6 November
29. Pham H.H., Alexander G.C., and O'Malley A.S. Physician consideration of patients' out-of-pocket costs in making common clinical decisions. Arch Intern Med 167 (2007) 663-668
30. Ballard DW, Li Y, Evans J, et al. Fear of litigation may increase resuscitation of infants born near the limits of viability. J Pediatr. 140:713-718.
31. Meier D.E., Emmons C.A., Litke A., et al. Characteristics of patients requesting and receiving physician-assisted death. Arch Intern Med 162 (2003) 1537-1542
32. Roter D. The enduring and evolving nature of the patient-physician relationship. Patient Educ Couns 39 (2000) 5-15
33. Siegler M. Falling off the pedestal: what is happening to the traditional doctor-patient relationship?. Mayo Clin Proc 68 (1993) 461-467
34. Quill T.E., and Brody H. Physician recommendations and patient autonomy: finding a balance between physician power and patient choice. Ann Intern Med 125 (1996) 763-769
35. Emanuel E.J., and Emanuel L.L. Four models of the patient-physician relationship. JAMA 267 (1992) 2221-2226
36. Kravitz R.L., Bell R.A., Azari R., et al. Request fulfillment in office practice: antecedents and relationships to outcomes. Med Care 40 (2002) 38-51
37. Bell R.A., Wilkes M.S., and Kravitz R.L. Advertisement-induced prescription drug requests: patient's anticipated reaction to a physician who refuses. J Fam Pract 48 (1999) 452-456
38. Bell R.A., Kravitz R.L., Thom D., et al. Unmet expectations for care and patient-physician relationship. J Gen Intern Med 17 (2002) 817-824
39. Reed M., Fung V., Brand R., et al. Care-seeking behavior in response to emergency department copayments. Med Care 43 (2005) 810-816