A Trial of Disclosing Physicians' Financial Incentives to Patients
Pearson, Steven D.
Archives of Internal Medicine 2006 March 27; 166(6): 623-628
BACKGROUND: Concern regarding financial conflict of interest for physicians has led to calls for disclosure of financial incentives to patients. However, limited data on the outcomes of disclosure exist to guide policy. METHODS: This randomized trial was conducted among 8000 adult patients at 2 multispecialty group practices based in the Boston, Mass, and Los Angeles, Calif, areas. Intervention patients were mailed a compensation disclosure letter written by the chief medical officer of their physician group, and all patients were surveyed approximately 3 months later. RESULTS: Disclosure patients were significantly more able to identify correctly the compensation model of their primary care physician, in Boston (adjusted odds ratio, 2.30; 95% confidence interval, 1.92-2.75) and in Los Angeles (adjusted odds ratio, 1.37; 95% confidence interval, 1.03-1.82). Disclosure patients also had more confidence in their ability to judge the possible influence of incentives on their health care: in Boston, 32.5% vs 17.8% (P
Showing items related by title, author, creator and subject.
Gallagher, Thomas H.; Waterman, Amy D.; Garbutt, Jane M.; Kapp, Julie M.; Chan, David K.; Dunagan, W. Claiborne; Fraser, Victoria J.; Levinson, Wendy (2006-08-14)
Levinson, Wendy; Kao, Audiey; Kuby, Alma M.; Thisted, Ronald A. (2005-03-28)BACKGROUND: Many physicians receive financial incentives to limit their ordering of expensive tests and procedures. While Medicare mandates disclosure of incentives, it is not clear how to inform patients without undermining ...