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Costs Versus Quality in Imaging Examination Decisions.

Ritika Manik1, Ruth C Carlos2, Richard Duszak3

  • 1Emory College of Arts and Sciences, Emory University, Atlanta, Georgia.

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Summary

Patients prioritize imaging quality over cost for severe back pain, but not for mild cases. Quality metrics are crucial for price transparency tools to guide patient choices effectively.

Keywords:
Costdecision makingimagingquality

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Area of Science:

  • Health economics
  • Patient decision-making
  • Radiology services

Background:

  • Price transparency tools for healthcare are emerging, but often lack quality metrics.
  • Consumers need reliable information to make informed choices about medical services.

Purpose of the Study:

  • To assess how patients weigh out-of-pocket costs (OOPC) against quality indicators when selecting an imaging center.
  • To understand patient preferences for imaging services for hypothetical back pain conditions.

Main Methods:

  • A survey of 1,310 Amazon Mechanical Turk volunteers was conducted.
  • Ranking-based conjoint analysis evaluated preferences for MRI cost vs. quality surrogates (accuracy, recommendations, star ratings).
  • Decisions were assessed for hypothetical mild and severe back pain scenarios.

Main Results:

  • For severe back pain, patients significantly preferred higher quality (accuracy, recommendations, star ratings) over increased cost.
  • For mild back pain, no statistical difference was found in preference between quality and cost.
  • Quality metrics like accuracy (65.8%) and star ratings (80.1%) were highly valued in severe cases.

Conclusions:

  • Integrating quality metrics into price transparency tools is essential for patient decision-making.
  • Further research should identify patient-relevant, comparable, and obtainable quality metrics for imaging centers.
  • Patient preferences differ based on the severity of the health condition.