Physician Awareness of Drug Cost: A Systematic Review
2007

Doctors' Awareness of Drug Costs

Sample size: 24 publication Evidence: moderate

Author Information

Author(s): Allan G. Michael, Lexchin Joel, Wiebe Natasha

Primary Institution: University of Alberta

Hypothesis

How aware are doctors of the costs of medications and what factors influence their awareness?

Conclusion

Doctors often underestimate the price of expensive drugs and overestimate the price of inexpensive ones, indicating a significant lack of awareness regarding drug costs.

Supporting Evidence

  • 31% of estimates were within 20% or 25% of the true cost.
  • Doctors consistently overestimated the cost of inexpensive products.
  • High-cost drugs were estimated more accurately than inexpensive ones.

Takeaway

Doctors don't know how much medicines cost, which can lead to them choosing more expensive options when cheaper ones are available.

Methodology

A systematic review of 24 studies assessing doctors' knowledge of drug costs through surveys.

Potential Biases

Common biases included convenience sampling and unclear survey distribution methods.

Limitations

Many studies had methodological weaknesses, including low response rates and unclear sampling methods.

Participant Demographics

Studies included licensed physicians, house staff, and medical students from various countries.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040283

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