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Introduction To Health Care Delivery System

Introduction To Health Care Delivery System

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Primary Healthcare Services

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Secondary Healthcare System

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Updated: Jun 29, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Are primary care physicians ready to practice in a consumer-driven environment?

Giridhar Mallya¹, Craig Evan Pollack, Daniel Polsky

¹Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, Philadelphia, PA 19104, USA. gmallya@mail.med.upenn.edu

The American Journal of Managed Care

|October 8, 2008

Summary

Many primary care physicians lack knowledge of consumer-directed health plans (CDHPs) and are unprepared to advise patients on costs. Trust in online quality-of-care information is also low among these providers.

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Last Updated: Jun 29, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Services Research
Primary Care Medicine
Health Economics

Background:

Consumer-directed health plans (CDHPs) are increasingly prevalent, shifting cost-sharing and decision-making responsibilities to patients.
This shift necessitates that primary care physicians (PCPs) possess adequate knowledge and readiness to guide patients through complex financial and medical choices.

Purpose of the Study:

To assess PCPs' knowledge of CDHP benefit designs and their readiness to advise patients on financial implications.
To evaluate PCPs' perspectives on the role and trustworthiness of quality-of-care information in patient decision-making.

Main Methods:

A national cross-sectional survey was administered to 1500 primary care physicians.
Data collected included physicians' knowledge of CDHP features, readiness to discuss costs, and views on quality-of-care information sources.

Main Results:

Nearly half of responding physicians (49%) reported low knowledge of CDHP cost-sharing or medical savings accounts.
While most physicians felt ready to discuss basic visit and medication costs, readiness decreased for more complex services like specialist visits and hospitalizations.
Trust in online quality-of-care information was notably low, with only 21% trusting government websites and 8% trusting insurance websites.

Conclusions:

A significant proportion of primary care physicians exhibit knowledge gaps regarding CDHPs and are not fully prepared to counsel patients on healthcare costs.
Physicians' limited readiness to discuss financial aspects and low trust in quality-of-care data pose challenges for effective patient guidance within CDHP frameworks.