Dokters en studenten schatten medicijnkosten verkeerd

Zowel dokters als medisch studenten zijn slecht op de hoogte van de kosten van veel voorgeschreven medicijnen. Ze hebben de neiging generieke medicatie te duur te schatten, terwijl ze de prijs van merkmiddelen juist vaker onderschatten. Dat merkten Tim Schutte en collega’s toen ze 203 geneeskundestudenten en 29 artsen van de afdeling Interne Geneeskunde van [...] Lees meer

Steeds meer zorg, een betaalbare oplossing?

De medische wetenschappen en verwante disciplines hebben ons veel gebracht. Onze levensverwachting stijgt sinds jaar en dag en de vitaliteit van mensen neemt toe, getuige populaire uitspraken als: ‘Vijftig is het nieuwe veertig’. Nu weten we natuurlijk dat niet alle gezondheidswinst is te wijten aan de gezondheidszorg, maar toch wel een substantieel en volgens sommigen […]

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Training Physicians to Provide High-Value, Cost-Conscious Care

Increasing health care expenditures are taxing the sustainability of the health care system. Physicians should be prepared to deliver high-value, cost-conscious care. Conclusions: Research on educating physicians to deliver high-value, cost-conscious care suggests that learning by practicing physicians, resident physicians, and medical students is promoted by combining specific knowledge transmission, reflective practice, and a supportive environment. […]

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Wat levert de duurste gezondheidszorg van Europa ons op?

Nederland heeft, uitgedrukt in euro’s per hoofd van de bevolking, de op twee na duurste gezondheidszorg van Europa, en zelfs de allerduurste als we de uitgaven uit- drukken in percentage van het nationaal inkomen.1 Alleen Noorwegen en Zwitserland geven in Europa meer uit aan gezondheidszorg, maar omdat deze landen bedui- dend rijker zijn dan Nederland, […]

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Will Physicians Lead on Controlling Health Care Costs?

Controlling health care costs is thefundamental domestic policy challenge facing the United States. Increasing health care costs reduce state funding for education, especially public colleges and universities, raising tuition costs and student indebtedness.1 Increasing health care costs constrain middleclasswages as increases in productivity are siphoned off to fund health insurance rather than take-homepay.2 Increasing health […]

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Views of US Physicians About Controlling Health Care Costs

Physicians’ views about health care costs are germane to pending policy reforms. Conclusions: In this survey about health care cost containment, US physicians reported having some responsibility to address health care costs in their practice and expressed general agreement about several quality initiatives to reduce cost but reported less enthusiasm for cost containment involving changes in […]

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Teaching High-value, Cost-conscious Care

Improving Residents’ Knowledge and Attitudes Rising health care costs have created an urgent need to improve physicians’ education regarding cost and value in health care. The Accreditation Council of Graduate Medical Education core competency of systems-based practice encompasses cost awareness and risk-benefit analysis, but there recently has been a call to expand this competency to […]

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Surgical Vampires and Rising Health Care Expenditure

Reducing the Cost of Daily Phlebotomy Objective: To determine whether simply being made continually aware of the hospital costs of daily phlebotomy would reduce the amount of phlebotomy ordered for nonintensive care unit surgical patients. Conclusion: Health care providers being made aware of the cost of phlebotomy can decrease the amount of these tests ordered and […]

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High-Value, Cost-Conscious Health Care

Health care costs in the United States are increasing unsustainably, and further efforts to control costs are inevitable and essential. Efforts to control expenditures should focus on the value, in addition to the costs, of health care interventions. Whether an intervention provides high value depends on assessing whether its health benefits justify its costs. High-cost […]

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