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Lowenstein M, Cannuscio C, Tardif M, et al. Facing Financial Hardship: Patients' Views on Clinical Trade-offs in Exchange for Cost Savings. J Ambul Care Manage. 2016;39(1):42-52doi: 10.1097/JAC.0000000000000069.
Lowenstein, M., Cannuscio, C., Tardif, M., & Grande, D. (2016). Facing Financial Hardship: Patients' Views on Clinical Trade-offs in Exchange for Cost Savings. The Journal of ambulatory care management, 39(1), 42-52. https://doi.org/10.1097/JAC.0000000000000069
Lowenstein, Margaret, et al. "Facing Financial Hardship: Patients' Views on Clinical Trade-offs in Exchange for Cost Savings." The Journal of ambulatory care management vol. 39,1 (2016): 42-52. doi: https://doi.org/10.1097/JAC.0000000000000069
Lowenstein M, Cannuscio C, Tardif M, Grande D. Facing Financial Hardship: Patients' Views on Clinical Trade-offs in Exchange for Cost Savings. J Ambul Care Manage. 2016 Jan-Mar;39(1):42-52. doi: 10.1097/JAC.0000000000000069. PMID: 26650745.
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J Ambul Care Manage. 2016 Jan-Mar;39(1):42-52. doi: 10.1097/JAC.0000000000000069.

Facing Financial Hardship: Patients' Views on Clinical Trade-offs in Exchange for Cost Savings.

The Journal of ambulatory care management

Margaret Lowenstein, Carolyn Cannuscio, Madeleine Tardif, David Grande

Affiliations

  1. Department of Medicine, University of California, San Francisco (Dr Lowenstein); Departments of Family Medicine and Community Health (Dr Cannuscio) and Medicine (Dr Grande), University of Pennsylvania, Philadelphia; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Drs Cannuscio and Grande); and College of Arts & Sciences, University of Pennsylvania, Philadelphia (Ms Tardif).

PMID: 26650745 DOI: 10.1097/JAC.0000000000000069

Abstract

As more patients enroll in health insurance with high out-of-pocket costs, provider-patient cost discussions are of growing importance. Little is known about how patients want providers to engage in cost conversations. We surveyed 842 chronically ill adults seeking financial help to examine preferences around treatment trade-offs in 3 areas-convenience, side effects, and efficacy and whether preferences changed with different savings. To save money, half of patients were willing to endure inconvenience (increased dosing), with no difference by magnitude of savings ($50 vs $150 per month). Few participants were willing to tolerate side effects or reduced efficacy.

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