Table 3. Attitudes to costs in medical treatment as explicators for estimates deviating from actual price (n=740).
Physician’s estimate deviated from actual price by ≥50% |
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Simvastatin OR (95% CI) | Alendronate OR (95% CI) | Infliximab OR (95% CI) | Natalizumab OR (95% CI) | Escitalopram OR (95% CI) | |
I consider the cost to society when deciding whether or not to initiate an intervention* | 1.0 (0.7-1.5) | 1.1 (0.7-1.6) | 0.8 (0.5-1.2) | 0.6 (0.4-1.0)* | 1.0 (0.7-1.4) |
I can reduce my referral and prescribing costs without compromising my patients’ health | 0.8 (0.5-1.3) | 0.4 (0.2-0.6)** | 1.4 (0.9-2.3) | 1.6 (0.8-3.2) | 0.9 (0.6-1.5) |
Willing to pay more than 405 to give the patient his/her preferred treatment; injection vs. pill§ | 1.4 (0.9-2.2) | 1.6 (1.0-2.4)* | 0.7 (0.5-1.0) | 1.2 (0.7-2.1) | 1.2 (0.8-1.8) |
Estimate of escitalopram (Cipralex) differed from actual price by ≥50%* | 1.5 (1.0-2.2)* | 2.2 (1.5-3.3)* | 1.0 (0.7-1.4) | 1.9 (1.2-3.0)** | __ |
Variable names with an asterisk are part of the basic model. Odds ratios with two asterisks indicate significance at the 1% level and those with one asterisk at 5%. Attitude measurement coding: 1 = agree, 0 = disagree. OR > 1 if physicians who agreed with the statement were more likely to deviate from accurate prices than others; OR <1 if they were less likely to deviate.
Explanation provided: injection avoids the trouble of taking the pills every week. Pills cause mild nausea when taken (once a week). In addition the injection is 10% more effective in increasing bone mass than the tablets.