Related Experiment Video
Updated: Nov 19, 2025
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
8.6K
Interventions supporting cost conversations between patients and clinicians: A systematic review
Francisco J Barrera1,2,3, Oscar J Ponce1,4, Nataly R Espinoza1
1Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA.
International Journal of Clinical Practice
|January 26, 2021
Summary
Interventions can increase the frequency of patient-clinician cost conversations, but evidence is limited. More high-quality studies are needed to assess the impact on financial outcomes and patient satisfaction.
Area of Science:
- Health Services Research
- Medical Economics
- Patient-Centered Care
Background:
- Financial toxicity in healthcare impacts patient treatment adherence and outcomes.
- Cost discussions between patients and clinicians are crucial for aligning care with financial realities.
- Existing interventions aim to facilitate these essential conversations.
Purpose of the Study:
- To identify and evaluate the effectiveness of interventions supporting patient-clinician cost conversations.
- To synthesize evidence on the impact of cost communication strategies in healthcare settings.
Main Methods:
- Systematic literature search across multiple databases (Embase, MEDLINE, Cochrane, Scopus) up to January 2020.
- Inclusion criteria focused on studies involving clinician-patient cost communication interventions.
- Data extraction and risk of bias assessment were conducted independently and in duplicate.
Main Results:
- Four non-randomized studies involving 1327 patients were included, primarily from US primary care and oncology settings.
- Interventions included decision aids with cost information, staff training, and direct patient information delivery.
- All interventions increased the frequency of cost conversations but showed no significant effect on out-of-pocket costs, satisfaction, or adherence.
Conclusions:
- The current evidence base is small and carries a high risk of bias.
- A consistent increase in cost conversation frequency was observed across interventions.
- Higher-quality research is necessary to determine the true impact on conversation quality and patient-reported outcomes.
Related Concept Videos
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
3.3K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.3K
01:15Methods of Documentation VI: Case Management Model
725
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
725
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.8K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.8K
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
10.5K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
10.5K
01:25Role of Communication in the Nursing Process II: Planning and Implementation
2.3K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
2.3K
01:13Patient-centered Care
2.7K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.7K