Study Suggests Patient Demands, Medical Malpractice Not to Blame for Ballooning Health Spending
Physicians often believe that patient requests for inappropriate care are responsible for a major portion of rapidly rising healthcare costs, but that perception isn’t borne out by the latest research.
In a study published Feb. 12 in the journal JAMA Oncology, Ezekiel Emanuel and colleagues found that the rate at which such requests are fulfilled, at least in the field of oncology, is quite low, and therefore patient requests “are unlikely to add significantly to health care costs.”
The researchers used data from 5,050 patient-clinician encounters occurring in three outpatient oncology centers between October of 2013 and June of 2014. Of those, only 8.7% included a patient demand for any specific medical intervention. Most of the time, physicians judged those requests to be clinicall...



