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Physician Sensitivity to the Price of Diagnostic Tests

A U.S.-Canadian Analysis

Bibliographic Data

ID9101469
AuthorsJohn Hoey (McGill University Health Centre), John M Eisenberg (McGill University Health Centre), Walter O Spitzer (McGill University Health Centre), Duncan Thomas (0000-0001-9471-1345), Duncan C Thomas (0000-0002-6040-8804, McGill University Health Centre)
Year1982
Volume20
Issue3
Pages302-307
Publication date1982-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198203000-00007
PMID7078289
OpenAlexW1986200393
LanguageEN
Citations received7
References cited2

A questionnaire containing 11 patient management problems was completed by 495 physicians and medical students at an American and a Canadian medical school. Respondents indicated whether they would order a particular diagnostic test in each case, given five different prices for the test. Approximately 25 per cent of attending staff and a higher proportion of residents, interns and clerks responded that they would order the test depending on its price. Approximately 50 per cent of attending staff and smaller proportions of residents, interns and clerks indicated that they would not order the test even if there were no price. Respondents in Montreal were more likely than those in Philadelphia to select a price-sensitive response, the reverse of the expected tendency. Since some tests may be ordered on the basis of price, education of physicians regarding the price of diagnostic test may alter their use of these services, but a large proportion of tests are ordered because of clinically absolute reasons, which may be insensitive to price

Diagnostic test · Economics · Family medicine · Order (exchange) · Test (biology) · Finance · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Radiology practices and education · Pediatrics

  • Influencing Behavior of Physicians Ordering Laboratory Tests

    Petra Axt-Adam, Johannes C van der Wouden et al.•Medical Care•1993

  • Teaching Cost-Effective Diagnostic Test Use to Medical Students

    Sharon Vegh Williams, Sankey V Williams et al.•Medical Care•1984

  • A Review of Physician Cost-Containment Strategies for Laboratory Testing

    Randolph M Grossman•Medical Care•1983

  • Improving House Staff Ordering of Three Common Laboratory Tests

    Kurt Kroenke, James F Hanley et al.•Medical Care•1987

  • Practice Pattern Variation Between Two Medical Schools

    Kathleen N Gillespie, James C Romeis et al.•Medical Care•1989

  • Physician Utilization

    John M Eisenberg•Medical Care•2002

  • What are tests for? The implications of stuttering steps along the US patient pathway

    Open Access•Jonathan Q Tritter, Jonathan Tritter et al.•Social Science & Medicine•2014

  • Use of Diagnostic Services by Physicians in Community Practice

    John M Eisenberg, David Nicklin•Medical Care•1981

  • Physician Awareness of Economic Factors in Clinical Decision-Making

    John Tobias Nagurney, Robert L Braham et al.•Medical Care•1979

Unique citing works7
Citations per year0,16
Citation span1983 - 2014 (32)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2
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