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. 2016 Jan 1;33(1):8–17. doi: 10.5152/balkanmedj.2015.15869
Economic Awareness of Healthcare Professionals Questionnaire EAHPQ-29
Estimating “value for money” reasoning of healthcare professionals considering recommendation of medical procedures (preventive, diagnostic, curative or rehabilitation interventions) Case number
Professional Background / Occupation:

Healthcare facility description:

ATTITUDES TOWARDS CLINICAL DECISION-MAKING BETWEEN ALTERNATIVES I quite agree I agree I don‘t have opinion I don‘t agree I don‘t agree at all

1 Treatment must be prescribed for particular indication only if it is concordant with the officially accepted guidelines.
2 I am familiar if the health authorities have issued guidance which regulates legitimacy of performing the intervention in particular disease.
3 I am familiar with market price of all alternative interventions (preventive, diagnostic test, curative or rehabilitating).
4 I do estimate risk-benefit ratio of all alternative medical interventions considered.
5 I am familiar with cost-effectiveness ratio for each alternative considered.
6 I do know if the recommended medicine or the procedure is currently being reimbursement within ordinary citizen’s insurance coverage.
7 I am familiar if there is any additional financial burden for the patient outsourcing from the treatment recommended such as the home care, transportation, job absenteeism or else.
8 I am aware if some of the mentioned costs could be avoided by choosing a different procedure which provides similar health benefit?
9 I do estimate if the expected clinical outcome of each alternative intervention vindicates its appliance.
10 I do consider whether it may be better for the patient not to interfere, observing clinical development.
11 Commonly I am willing to consult additional, evidence based sources about the disputed clinical problem.
12 It seems to me that I have observed an irrational recommendation of procedures lacking firm evidence on efficiency.

ATTITUDES TOWARDS QUALITY OF THE HEALTH CARE

13 If I could choose I‘d rather be referred to a private doctor than to a State-owned Health Service.
14 Administration and financial policy in healthcare are considerably involved in the doctor-patient relationship.
15 Administration and financial policy in healthcare are more focused on cost savings than with the provision of quality health care.
16 The doctors in privately-owned facilities are more concerned about their income than with the quality of the healthcare.
17 Physicians employed within State-owned facilities due to strict inner and outer control, run fewer tests and examinations per patient compared to the physicians employed within privately-owned facilities
18 I do have less confidence in fellow physicians employed in State-owned facilities compared to the ones employed within privately-owned facilities

19 The physicians employed within State-owned Institutions don‘t have the same level of the dedication tothe patients as the physicians in the private sector do agree at all I quite agree I agree I don‘t have opinion I don‘t agree I don‘t agree at all
20 The physicians in the State-owned institutions work fewer hours a day than the physicians in the privately owned institutions.
21 I would avoid prescribing medicines strictly based on instructions of the non-medical management body.
22 Actual changes in our health system diminish the independence of the physicians ever more.
23 The physicians in State-owned Institutions make fewer professional mistakes than those in private-owned institutions.

ATTITUDES TOWARDS COST CONTAINMENT POLICY

24 The price of some diagnostic test should not affect the decision of the institute whether to obtain it.
25 Even if there is only the minor probability that the test will give the diagnostically useful information, it should be run.
26 If the patient demands certain laboratory analysis or the imaging examination and the risk of harm is acceptable, the patient should be given the service demanded.
27 The medical cost containment is more important than to let the doctors and patients make free agreements about the healing plan.
28 Achieving cost savings within the healthcare is out of reach of the physicians and their professional associations.
29 Routine and detailed validation of the clinical decisions is the reasonable way of decreasing expenditure of the medical facility.