Related Experiment Video
Updated: Mar 17, 2026
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
9.3K
Self-Reported Rationing Behavior Among US Physicians: A National Survey.
Robert D Sheeler1, Tim Mundell2, Samia A Hurst3
1Department of Family Medicine, Mayo Clinic, Rochester, MN, USA. sheeler.robert@mayo.edu.
Journal of General Internal Medicine
|July 21, 2016
Summary
Over half of US physicians report rationing care due to costs. Factors like specialty and political views influence these physician behaviors, impacting patient access to services.
Area of Science:
- Health Services Research
- Medical Economics
- Physician Behavior Studies
Background:
- Physician rationing of care is a contentious issue in the United States.
- Understanding physician attitudes and behaviors regarding rationing is crucial for informed professional dialogue.
Purpose of the Study:
- To investigate the prevalence of rationing behavior among US physicians.
- To identify factors associated with self-reported rationing of clinical services.
Main Methods:
- A cross-sectional survey was distributed to US physicians in 2012.
- The survey assessed self-reported rationing behavior and related variables, including an embedded experiment on language influence.
Main Results:
- 53.1% of physicians reported rationing care (e.g., prescription drugs, MRI) due to health system costs.
- Primary care physicians, liberal-identifying physicians, and those in medical school settings were less likely to report rationing.
- Positive opinions on rationing correlated with increased rationing behavior.
Conclusions:
- A significant proportion of US physicians engage in rationing behavior.
- Specific physician subgroups are more prone to rationing, highlighting systemic influences on care delivery.
More Related Videos
02:28Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
994
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
15.4K
Related Concept Videos
01:08Obedience
35.7K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.7K
01:08The Availability Heuristic
7.2K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
7.2K
01:14SBAR II: Application of SBAR
6.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
6.6K
01:22Ethics and Bioethics
3.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
3.4K
01:52Regression Toward the Mean
7.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
7.3K
01:27Ethical Issues
2.5K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.5K