Physician attitudes toward cost containment. The missing piece of the puzzle

UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine

Publication Date


Document Type



Age Factors; Attitude of Health Personnel; *Cost Control; Curriculum; Data Collection; Education, Medical, Undergraduate; Health Services Misuse; Hospitalization; Humans; Malpractice; Massachusetts; Medicine; Physician's Practice Patterns; *Physicians; Specialization


Bioinformatics | Biostatistics | Epidemiology | Health Services Research


A survey of 720 physicians practicing in central and western Massachusetts was undertaken to examine their attitudes toward cost-containment measures. The majority of physicians felt that major techniques (58%), major procedures (57%), inappropriate ordering of diagnostic tests (48%), and malpractice concerns (47%) were very important contributors to increasing health care costs. Physician age, practice affiliation, and specialty area were related to the perceived importance of these factors. In addition, while there was a uniform lack of prior training in cost-containment measures, 48% of all physicians felt that courses in cost-containment techniques would be worthwhile. These results suggest a variety of concerns and issues that need to be considered when attempting to modify the cost-containment attitudes and practices of physicians.


Arch Intern Med. 1989 Sep;149(9):1966-8.

Journal/Book/Conference Title

Archives of internal medicine

PubMed ID


Related Resources

Link to Article in PubMed