|Grant Number:||5R01CA078052-02 Interpret this number|
|Primary Investigator:||Ubel, Peter|
|Organization:||University Of Pennsylvania|
|Project Title:||Trade-Offs in Cancer Screening, Diagnosis and Treatment|
DESCRIPTION: This new application from the University of Pennsylvania seeks to investigate primary care physician attitudes regarding the tradeoff between cost and quality in the diagnosis and treatment of cancer. A survey, created in a factorial design varying several characteristics of the questions, will be sent to 4,000 randomly selected physicians to assess their attitudes regarding cost and quality decision. The questionnaire will pose several vignettes, randomly varied to provide slightly different amounts of information regarding the cost-effectiveness of the alternatives in the vignette and the financial situation of the physician and patient. The results will be analyzed with a combination of unadjusted comparisons of means and proportions. Multivariate analysis (linear and logistic regression) will be used to evaluate the covariates that may impact on the responses.
In a mailed physician survey, questionnaire length had a threshold effect on response rate.
Authors: Jepson C. , Asch D.A. , Hershey J.C. , Ubel P.A. .
Source: Journal of clinical epidemiology, 2005 Jan; 58(1), p. 103-5.
Misperceptions about beta-blockers and diuretics: a national survey of primary care physicians.
Authors: Ubel P.A. , Jepson C. , Asch D.A. .
Source: Journal of general internal medicine, 2003 Dec; 18(12), p. 977-83.
Public response to cost-quality tradeoffs in clinical decisions.
Authors: Beach M.C. , Asch D.A. , Jepson C. , Hershey J.C. , Mohr T. , McMorrow S. , Ubel P.A. .
Source: Medical decision making : an international journal of the Society for Medical Decision Making, 2003 Sep-Oct; 23(5), p. 369-78.
When money is saved by reducing healthcare costs, where do US primary care physicians think the money goes?
Authors: Asch D.A. , Jepson C. , Hershey J.C. , Baron J. , Ubel P.A. .
Source: The American journal of managed care, 2003 Jun; 9(6), p. 438-42.
The influence of cost-effectiveness information on physicians' cancer screening recommendations.
Authors: Ubel P.A. , Jepson C. , Baron J. , Hershey J.C. , Asch D.A. .
Source: Social science & medicine (1982), 2003 Apr; 56(8), p. 1727-36.
Incremental and average cost-effectiveness ratios: will physicians make a distinction?
Authors: Hershey J.C. , Asch D.A. , Jepson C. , Baron J. , Ubel P.A. .
Source: Risk analysis : an official publication of the Society for Risk Analysis, 2003 Feb; 23(1), p. 81-9.
Are preferences for equity over efficiency in health care allocation "all or nothing"?
Authors: Ubel P.A. , Baron J. , Nash B. , Asch D.A. .
Source: Medical care, 2000 Apr; 38(4), p. 366-73.