No Evidence on Association Between Prospective Exposure to Out-of-Pocket Cost Information and Appointment Cancelations or No-Shows: A Case-Control Pilot Study.

Health care price transparency aims to empower patients to make better-informed purchasing decisions. However, the prospective availability of patients' out-of-pocket costs may lead to an increased rate of forgone care. The objective of this study was to examine whether obtaining a prospective out-o...

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Detalles Bibliográficos
Publicado en:Inquiry (00469580) Vol. 62; pp. 1 - 9
Autores principales: Mitchell, Brae, Sadigh, Gelareh, Fendrick, A. Mark, Horný, Michal
Formato: Artículo
Publicado: Sage Publications Inc. 2/14/2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: No Evidence on Association Between Prospective Exposure to Out-of-Pocket Cost Information and Appointment Cancelations or No-Shows: A Case-Control Pilot Study.
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          Mitchell, Brae
          Sadigh, Gelareh
          Fendrick, A. Mark
          Horný, Michal
        affil:
          Emory University, Atlanta, GA, USA
          University of California, Irvine, CA, USA
          University of Michigan, Ann Arbor, MI, USA
          University of Massachusetts Amherst, Amherst, MA, USA
      su:
        Patient compliance
        Research funding
        Scientific observation
        Pilot projects
        Multiple regression analysis
        Questionnaires
        Information needs
        Odds ratio
        Medical appointments
        Case-control method
        Confidence intervals
        Medical care costs
        Information-seeking behavior
        Georgia
      sug:
        subj:
          Georgia
          Patient compliance
          Research funding
          Scientific observation
          Pilot projects
          Multiple regression analysis
          Questionnaires
          Information needs
          Odds ratio
          Medical appointments
          Case-control method
          Confidence intervals
          Medical care costs
          Information-seeking behavior
      keyword:
        health care utilization
        health policy
        imaging
        patient cost-sharing
        price transparency
      ab: Health care price transparency aims to empower patients to make better-informed purchasing decisions. However, the prospective availability of patients' out-of-pocket costs may lead to an increased rate of forgone care. The objective of this study was to examine whether obtaining a prospective out-of-pocket cost estimate is associated with the likelihood of canceling or not arriving at a scheduled outpatient health care appointment. We surveyed adult individuals with scheduled outpatient imaging appointments at a large health care system in Georgia. In this case-control pilot study, we estimated the adjusted association between obtaining an out-of-pocket cost estimate for a scheduled imaging appointment (did not obtain an estimate, did not seek an estimate but received it via an unsolicited phone call from the health care system, and actively sought and obtained an estimate) and not attending the appointment using multivariable logistic regression that controlled for the type of primary health insurance and patient demographics. Actively seeking an out-of-pocket cost estimate was not associated with appointment cancelation or no-show (adjusted odds ratio [aOR] = 0.81, P =.75). Passively receiving an out-of-pocket cost estimate via an unsolicited phone call from the health care system was marginally associated with lower odds of appointment cancelation or no-show (aOR = 0.24; P =.076). This study did not find evidence of an association between prospective exposure of patients to out-of-pocket cost information and the likelihood of health care appointment cancelation or no-show.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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