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Physician Attitudes Toward Cost Containment The Missing Piece of the Puzzle

Harry L. Greene, MD; Robert J. Goldberg, PhD; Helen Beattie, MPH; Arthur R. Russo, MD; R. Curtis Ellison, MD, MS; James E. Dalen, MD, MPH
Arch Intern Med. 1989;149(9):1966-1968. doi:10.1001/archinte.1989.00390090044009.
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• A survey of 720 physicians practicing in central and western Massachusetts was undertaken to examine their attitudes toward cost-containment measures. The majority of physicians felt that major techniques (58%), major procedures (57%), inappropriate ordering of diagnostic tests (48%), and malpractice concerns (47%) were very important contributors to increasing health care costs. Physician age, practice affiliation, and specialty area were related to the perceived importance of these factors. In addition, while there was a uniform lack of prior training in cost-containment measures, 48% of all physicians felt that courses in cost-containment techniques would be worthwhile. These results suggest a variety of concerns and issues that need to be considered when attempting to modify the cost-containment attitudes and practices of physicians.

(Arch Intern Med. 1989;149:1966-1968)


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