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. 2023 May 18;6(5):e2314211. doi: 10.1001/jamanetworkopen.2023.14211

Table 3. Concerns Regarding Real-time Benefit Tool Use Overall and by Cost-Related Nonadherence Status.

Concern No. (weighted %)a P value
All Any cost-related nonadherence No cost-related nonadherence
Feelings if physician used a real-time benefit tool to estimate price but did not discuss the priceb
Not at all upset 356 (20.7) 34 (10.2) 322 (23.3) <.001
Slightly upset 365 (17.3) 60 (12.0) 305 (18.6)
Somewhat upset 545 (27.1) 97 (23.4) 448 (28.1)
Moderately upset 434 (19.4) 102 (30.5) 332 (16.6)
Extremely upset 304 (15.5) 85 (23.7) 219 (13.4)
Feelings if price was a lot more than the physician estimated with a real-time benefit tool
Not at all upset 68 (4.2) 8 (1.5) 60 (4.9) <.001
Slightly upset 155 (7.6) 21 (5.7) 134 (8.1)
Somewhat upset 448 (20.9) 65 (15.9) 383 (22.2)
Moderately upset 550 (25.4) 101 (26.9) 449 (25.1)
Extremely upset 777 (41.5) 182 (49.9) 5695 (39.3)
Affect decision to start or keep taking medication if price was a lot more than estimated
Yes 986 (53.7) 289 (78.1) 697 (47.5) <.001
No 1015 (46.1) 90 (21.9) 925 (52.2)
Opinion of physician using the real-time benefit tool if price was a lot more than estimated
Still want my physician to use the tool 916 (42.4) 187 (49.3) 729 (40.7) .002
Only use the tool if they thought the price might be very high 597 (30.1) 89 (21.4) 508 (32.3)
Would not want my physician to use the tool again 488 (27.0) 103 (29.3) 385 (26.5)
Confidence in physician if price was a lot more than estimated
Decrease my confidence in my physician a lot 184 (10.4) 44 (15.1) 140 (9.2) .003
Decrease my confidence in my physician a little 687 (33.3) 130 (35.5) 557 (32.8)
Would not decrease my confidence in my physician 1130 (56.1) 204 (49.3) 926 (57.9)
If the real-time benefit tool showed average price vs specific price, would you want that information
Yes 1676 (82.6) 323 (85.9) 1353 (81.8) .04
No 325 (17.1) 55 (13.3) 270 (18.0)
a

Sample weighted to represent US population aged 65 years and older.

b

Because people may be unfamiliar with the concept of real-time benefit tools, the following prompt was included to explain the meaning of this term: “Imagine your doctor could use a tool in your electronic medical record during your visit that showed them an estimate of the price that you would pay for a medication, and medication alternatives, based on your insurance.”