تاريخ مجلس الدراسات العليا

2022-02-06

اسم الطالب

محمد حسن ياسين

ملخص الرسالة

The main aim of this research is to explore cost containment strategies applied by physicians in Jordan, paying attention to the role of cost consciousness in addressing health care costs, barriers and consequences. We conducted a quantitative study between 19 June and 15 November 2021 through a cross-sectional previously validated questionnaire. A total of 389 physicians participated in this study Using a confidence interval of 95%, a standard deviation (SD) of 0.5, a margin of error of 5%, and an 80% power calculation. The most frequently mentioned bodies that have the main responsibility for reducing the cost of healthcare were the government (65.6%), health insurance companies (60.2%), and pharmaceutical and device manufacturers (57.9%), Participating physicians showed a high level of enthusiasm towards all domains of reducing healthcare costs with mean percentage of 88.3% (SD: 0.04). The most commonly agreed-upon items about physicians' role in containing health care cost and consequences of cost-conscious practice were 'there is currently too much emphasis on costs of tests and procedures' (83.0%), 'decision support tools that show costs would be helpful in my practice' (84.5%), and 'doctors need to take a more prominent role in limiting the use of unnecessary tests' (86.0%). Barriers to and consequences of cost-conscious practice were assessed using two items 80.0% of physicians reported their agreement they found the uncertainty involved in patient care disconcerting, and around 70.0% reported their agreement they ordered more tests when they did not know the patient well. Participating physicians showed a moderate level of cost consciousness, but this must be higher, because this level will be reflected in the patient's health, as in the end, it leads to cost-related nonadherence.