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Cost: An Important Question That Must Be Asked.

R Andrew Morgan1

  • 1Neiswanger Institute for Bioethics, Loyola University Chicago, Chicago, IL, USA. amorgan2@gmail.com.

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Summary

Discussing medical costs is crucial for informed patient consent, as patients consider cost information vital for their healthcare decisions. Providers must address these financial aspects ethically, utilizing shared decision-making models and tools to enhance transparency.

Keywords:
AutonomyCostFinancial toxicityInformed consentMedical decision makingShared decision making

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Area of Science:

  • Medical Ethics
  • Health Economics
  • Patient-Centered Care

Background:

  • Patients have a right to relevant information for informed consent.
  • Cost information is overwhelmingly reported as relevant by patients for medical decisions.
  • Providers have an ethical obligation to discuss costs with patients.

Purpose of the Study:

  • To emphasize the necessity of cost discussions in informed consent.
  • To explore the role of shared decision-making and decision aids in cost communication.
  • To identify barriers and facilitators for improving cost transparency.

Main Methods:

  • Literature review on informed consent and cost communication.
  • Analysis of ethical responsibilities in patient-provider dialogue.
  • Examination of shared decision-making models and decision aids.

Main Results:

  • Cost conversations are ethically mandated for informed consent.
  • Shared Decision Making (SDM) provides a framework for discussing costs.
  • Decision aids can facilitate understanding of medical expenses.
  • Barriers to cost discussions exist but can be overcome with tools and improved transparency.

Conclusions:

  • Integrating cost discussions into informed consent is essential for patient autonomy.
  • Shared decision-making models are effective for addressing patient financial concerns.
  • Continued efforts are needed to enhance cost transparency from healthcare systems and insurers.