Financiele grenzen aan de zorg; een enquete onder artsen

Translated title of the contribution: Financial limits to care; an enquiry among physicians

M. W.J. Wouters, D. R.M. Timmermans*, J. Kievit

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective. To determine physicians' opinions about the role of cost considerations in treatment decisions. Design. Oral inquiry. Setting. Hospitals in the area of Leiden and Amsterdam, the Netherlands. Methods. 82 medical specialists (41 surgeons and 41 internists) were interviewed and answered questions regarding cost considerations in medical care. They were also asked to determine the probability of success below which they considered an expensive medical treatment useless. Results. The respondents agreed that the government can set limits to care and incorporate cost considerations, but they also indicated that the role of physicians is to treat individual patients. About half the physicians would agree to discontinue treatment when it became too expensive. Decisions regarding the limitation of care should be made by politicians with or without the advice of physicians. The respondents would discontinue (an expensive) treatment (in a presented case) if the probability of success was on average below 12%, but half the physicians said they would accept a lower probability of success for individual patients than they would recommend as a policy. Conclusion. Although physicians agreed about the necessity to set limits to medical care, their behaviour in clinical practice appeared to be not always in agreement with this.

Original languageDutch
Pages (from-to)206-210
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Volume141
Issue number4
Publication statusPublished - 21 Feb 1997

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