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Related Experiment Videos

Who gets second opinions?

T H Wagner1, L S Wagner

  • 1Veterans Affairs (VA) Health System, Menlo Park, California, USA.

Health Affairs (Project Hope)
|September 25, 1999
PubMed
Summary
This summary is machine-generated.

Second medical opinions (SMOs) are mandated in six states, but it remains unclear who benefits. A study found 19% of patients sought an SMO, suggesting cultural factors influence access to this healthcare consumer right.

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Area of Science:

  • Health Services Research
  • Medical Economics
  • Sociology of Health

Background:

  • Six states mandate health plans to provide or authorize second medical opinions (SMOs).
  • Legislation aims to enhance consumer choice, information flow, and health outcomes within managed care.
  • The beneficiaries of these SMO laws are not well-defined.

Purpose of the Study:

  • To review the evolving role of second medical opinions in healthcare.
  • To analyze utilization patterns of second medical opinions using national data.
  • To identify demographic and sociocultural factors associated with receiving a second medical opinion.

Main Methods:

  • Review of literature on the changing role of second opinions.
  • Analysis of a nationally representative dataset from the Commonwealth Fund.

Related Experiment Videos

  • Examination of patient-reported data on healthcare utilization and second opinion seeking.

    • Main Results:

    • Nineteen percent of individuals who visited a doctor in the previous year received a second medical opinion.
    • The estimated cost of second medical opinions in 1994 was $3.2 billion.
    • Cultural norms and sociocultural factors appear to influence who obtains second medical opinions.

    Conclusions:

    • Second medical opinion legislation may not benefit all segments of the population equally.
    • Sociocultural determinants play a significant role in the utilization of second medical opinions.
    • Further research is needed to understand and address disparities in access to second medical opinions.