Cost in Hand Surgery: The Patient Perspective

Aaron Alokozai, Tom J. Crijns, Stein J. Janssen, Bonheur Van Der Gronde, David Ring, Alex Sox-Harris, Robin N. Kamal

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: Rising costs at the patient level have been recognized and shown to directly influence patient decisions. By understanding patient interests in discussing cost, hand surgeons may better prepare themselves and their practices to communicate costs with patients. Methods: We surveyed 128 patients at an upper extremity surgery clinic at their 2-week postoperative visit. Survey domains included basic patient demographics and an assessment of patient financial distress, along with questions that rated patient interest with patient-physician financial conversations. These factors included patients' desire for a conversation regarding cost, whether or not patients have discussed cost with their surgeon, barriers to these discussions, and overall views concerning cost containment in hand care. Results: Seven percent of patients discussed the costs of their surgical care with their physician. Eleven percent of patients reported that a doctor should not discuss the costs of their surgical care. Forty-eight percent of patients reported that a doctor should initiate a conversation regarding costs of care when a new treatment is being considered. Fifty-nine percent of patients agreed that physicians should consider the amount of money a patient will have to pay when choosing a new treatment. Conclusions: Patients can experience financial hardship as a result of their surgery and some patients are interested in discussing costs with their doctor. Patients indicated that doctors should be concerned with lowering the costs of surgery and should initiate a conversation regarding costs of care when a new treatment is being considered. Clinical relevance: Patients are interested in a conversation regarding their cost of hand surgery care. Making cost data more transparent and available to physicians and patients may facilitate communication regarding cost of care.

Original languageEnglish (US)
Pages (from-to)992.e1-992.e26
JournalJournal of Hand Surgery
Volume44
Issue number11
DOIs
StatePublished - Nov 2019

Fingerprint

Hand
Costs and Cost Analysis
Physicians
Cost Control
Upper Extremity

Keywords

  • Cost
  • financial distress
  • patient perspective
  • value

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Alokozai, A., Crijns, T. J., Janssen, S. J., Van Der Gronde, B., Ring, D., Sox-Harris, A., & Kamal, R. N. (2019). Cost in Hand Surgery: The Patient Perspective. Journal of Hand Surgery, 44(11), 992.e1-992.e26. https://doi.org/10.1016/j.jhsa.2019.01.009

Cost in Hand Surgery : The Patient Perspective. / Alokozai, Aaron; Crijns, Tom J.; Janssen, Stein J.; Van Der Gronde, Bonheur; Ring, David; Sox-Harris, Alex; Kamal, Robin N.

In: Journal of Hand Surgery, Vol. 44, No. 11, 11.2019, p. 992.e1-992.e26.

Research output: Contribution to journalArticle

Alokozai, A, Crijns, TJ, Janssen, SJ, Van Der Gronde, B, Ring, D, Sox-Harris, A & Kamal, RN 2019, 'Cost in Hand Surgery: The Patient Perspective', Journal of Hand Surgery, vol. 44, no. 11, pp. 992.e1-992.e26. https://doi.org/10.1016/j.jhsa.2019.01.009
Alokozai A, Crijns TJ, Janssen SJ, Van Der Gronde B, Ring D, Sox-Harris A et al. Cost in Hand Surgery: The Patient Perspective. Journal of Hand Surgery. 2019 Nov;44(11):992.e1-992.e26. https://doi.org/10.1016/j.jhsa.2019.01.009
Alokozai, Aaron ; Crijns, Tom J. ; Janssen, Stein J. ; Van Der Gronde, Bonheur ; Ring, David ; Sox-Harris, Alex ; Kamal, Robin N. / Cost in Hand Surgery : The Patient Perspective. In: Journal of Hand Surgery. 2019 ; Vol. 44, No. 11. pp. 992.e1-992.e26.
@article{47a30925005c4dc5b49837d162491fc8,
title = "Cost in Hand Surgery: The Patient Perspective",
abstract = "Purpose: Rising costs at the patient level have been recognized and shown to directly influence patient decisions. By understanding patient interests in discussing cost, hand surgeons may better prepare themselves and their practices to communicate costs with patients. Methods: We surveyed 128 patients at an upper extremity surgery clinic at their 2-week postoperative visit. Survey domains included basic patient demographics and an assessment of patient financial distress, along with questions that rated patient interest with patient-physician financial conversations. These factors included patients' desire for a conversation regarding cost, whether or not patients have discussed cost with their surgeon, barriers to these discussions, and overall views concerning cost containment in hand care. Results: Seven percent of patients discussed the costs of their surgical care with their physician. Eleven percent of patients reported that a doctor should not discuss the costs of their surgical care. Forty-eight percent of patients reported that a doctor should initiate a conversation regarding costs of care when a new treatment is being considered. Fifty-nine percent of patients agreed that physicians should consider the amount of money a patient will have to pay when choosing a new treatment. Conclusions: Patients can experience financial hardship as a result of their surgery and some patients are interested in discussing costs with their doctor. Patients indicated that doctors should be concerned with lowering the costs of surgery and should initiate a conversation regarding costs of care when a new treatment is being considered. Clinical relevance: Patients are interested in a conversation regarding their cost of hand surgery care. Making cost data more transparent and available to physicians and patients may facilitate communication regarding cost of care.",
keywords = "Cost, financial distress, patient perspective, value",
author = "Aaron Alokozai and Crijns, {Tom J.} and Janssen, {Stein J.} and {Van Der Gronde}, Bonheur and David Ring and Alex Sox-Harris and Kamal, {Robin N.}",
year = "2019",
month = "11",
doi = "10.1016/j.jhsa.2019.01.009",
language = "English (US)",
volume = "44",
pages = "992.e1--992.e26",
journal = "Journal of Hand Surgery",
issn = "0363-5023",
publisher = "W.B. Saunders Ltd",
number = "11",

}

TY - JOUR

T1 - Cost in Hand Surgery

T2 - The Patient Perspective

AU - Alokozai, Aaron

AU - Crijns, Tom J.

AU - Janssen, Stein J.

AU - Van Der Gronde, Bonheur

AU - Ring, David

AU - Sox-Harris, Alex

AU - Kamal, Robin N.

PY - 2019/11

Y1 - 2019/11

N2 - Purpose: Rising costs at the patient level have been recognized and shown to directly influence patient decisions. By understanding patient interests in discussing cost, hand surgeons may better prepare themselves and their practices to communicate costs with patients. Methods: We surveyed 128 patients at an upper extremity surgery clinic at their 2-week postoperative visit. Survey domains included basic patient demographics and an assessment of patient financial distress, along with questions that rated patient interest with patient-physician financial conversations. These factors included patients' desire for a conversation regarding cost, whether or not patients have discussed cost with their surgeon, barriers to these discussions, and overall views concerning cost containment in hand care. Results: Seven percent of patients discussed the costs of their surgical care with their physician. Eleven percent of patients reported that a doctor should not discuss the costs of their surgical care. Forty-eight percent of patients reported that a doctor should initiate a conversation regarding costs of care when a new treatment is being considered. Fifty-nine percent of patients agreed that physicians should consider the amount of money a patient will have to pay when choosing a new treatment. Conclusions: Patients can experience financial hardship as a result of their surgery and some patients are interested in discussing costs with their doctor. Patients indicated that doctors should be concerned with lowering the costs of surgery and should initiate a conversation regarding costs of care when a new treatment is being considered. Clinical relevance: Patients are interested in a conversation regarding their cost of hand surgery care. Making cost data more transparent and available to physicians and patients may facilitate communication regarding cost of care.

AB - Purpose: Rising costs at the patient level have been recognized and shown to directly influence patient decisions. By understanding patient interests in discussing cost, hand surgeons may better prepare themselves and their practices to communicate costs with patients. Methods: We surveyed 128 patients at an upper extremity surgery clinic at their 2-week postoperative visit. Survey domains included basic patient demographics and an assessment of patient financial distress, along with questions that rated patient interest with patient-physician financial conversations. These factors included patients' desire for a conversation regarding cost, whether or not patients have discussed cost with their surgeon, barriers to these discussions, and overall views concerning cost containment in hand care. Results: Seven percent of patients discussed the costs of their surgical care with their physician. Eleven percent of patients reported that a doctor should not discuss the costs of their surgical care. Forty-eight percent of patients reported that a doctor should initiate a conversation regarding costs of care when a new treatment is being considered. Fifty-nine percent of patients agreed that physicians should consider the amount of money a patient will have to pay when choosing a new treatment. Conclusions: Patients can experience financial hardship as a result of their surgery and some patients are interested in discussing costs with their doctor. Patients indicated that doctors should be concerned with lowering the costs of surgery and should initiate a conversation regarding costs of care when a new treatment is being considered. Clinical relevance: Patients are interested in a conversation regarding their cost of hand surgery care. Making cost data more transparent and available to physicians and patients may facilitate communication regarding cost of care.

KW - Cost

KW - financial distress

KW - patient perspective

KW - value

UR - http://www.scopus.com/inward/record.url?scp=85061659501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061659501&partnerID=8YFLogxK

U2 - 10.1016/j.jhsa.2019.01.009

DO - 10.1016/j.jhsa.2019.01.009

M3 - Article

AN - SCOPUS:85061659501

VL - 44

SP - 992.e1-992.e26

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0363-5023

IS - 11

ER -