[Costs and fees in health care. Evaluation and assessment by cardiological patients]

D Jäger1, H Baberg, J Kugler

  • 1Abteilung für Kardiologie und Angiologie, Bergmannsheil, Universitätsklinik, Bochum.

Medizinische Klinik (Munich, Germany : 1983)
|June 19, 1998
PubMed

Insights

Patients find healthcare costs high but justifiable. Key cost drivers include expensive and numerous drugs, and an aging population. Greater transparency in healthcare pricing is essential.

Area of Science:

  • Cardiology
  • Health Economics
  • Patient Perception

Context:

  • Pilot study involving 70 cardiology patients.
  • Assessed patient understanding of costs for procedures like coronary angiography, PTCA, heart transplantation, pacemakers, and prosthetic heart valves.
  • Included estimation of healthcare professional salaries and identification of cost increase factors.

Purpose:

  • To evaluate patient awareness and perception of healthcare costs.
  • To identify patient-cited reasons for rising healthcare expenditures.
  • To compare patient estimates with actual costs of cardiac procedures and devices.

Summary:

  • 91.7% of patients perceived healthcare as expensive yet reasonable given the outcomes.
  • Primary reasons cited for cost increases: expensive drugs (70.6%), high drug volume (56.9%), and an increasing elderly patient population (56.9%).
  • Patients frequently misjudged costs, overestimating coronary angiography and underestimating PTCA, pacemakers, and prosthetic heart valves.

Impact:

  • Highlights significant patient misinformation regarding the true costs of cardiac procedures and devices.
  • Underscores the need for improved patient education and financial transparency in healthcare.
  • Provides insights into patient-driven perceptions of healthcare economic drivers.
Abstract

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