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: |
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Healthcare facility description: |
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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 |
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1 Treatment must be prescribed for particular indication only if it is concordant with the officially accepted guidelines. |
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2 I am familiar if the health authorities have issued guidance which regulates legitimacy of performing the intervention in particular disease. |
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3 I am familiar with market price of all alternative interventions (preventive, diagnostic test, curative or rehabilitating). |
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4 I do estimate risk-benefit ratio of all alternative medical interventions considered. |
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5 I am familiar with cost-effectiveness ratio for each alternative considered. |
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6 I do know if the recommended medicine or the procedure is currently being reimbursement within ordinary citizen’s insurance coverage. |
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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. |
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8 I am aware if some of the mentioned costs could be avoided by choosing a different procedure which provides similar health benefit? |
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9 I do estimate if the expected clinical outcome of each alternative intervention vindicates its appliance. |
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10 I do consider whether it may be better for the patient not to interfere, observing clinical development. |
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11 Commonly I am willing to consult additional, evidence based sources about the disputed clinical problem. |
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12 It seems to me that I have observed an irrational recommendation of procedures lacking firm evidence on efficiency. |
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ATTITUDES TOWARDS QUALITY OF THE HEALTH CARE |
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13 If I could choose I‘d rather be referred to a private doctor than to a State-owned Health Service. |
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14 Administration and financial policy in healthcare are considerably involved in the doctor-patient relationship. |
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15 Administration and financial policy in healthcare are more focused on cost savings than with the provision of quality health care. |
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16 The doctors in privately-owned facilities are more concerned about their income than with the quality of the healthcare. |
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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 |
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18 I do have less confidence in fellow physicians employed in State-owned facilities compared to the ones employed within privately-owned facilities |
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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. |
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21 I would avoid prescribing medicines strictly based on instructions of the non-medical management body. |
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22 Actual changes in our health system diminish the independence of the physicians ever more. |
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23 The physicians in State-owned Institutions make fewer professional mistakes than those in private-owned institutions. |
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ATTITUDES TOWARDS COST CONTAINMENT POLICY |
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24 The price of some diagnostic test should not affect the decision of the institute whether to obtain it. |
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25 Even if there is only the minor probability that the test will give the diagnostically useful information, it should be run. |
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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. |
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27 The medical cost containment is more important than to let the doctors and patients make free agreements about the healing plan. |
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28 Achieving cost savings within the healthcare is out of reach of the physicians and their professional associations. |
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29 Routine and detailed validation of the clinical decisions is the reasonable way of decreasing expenditure of the medical facility. |
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