AlFada Mohammed A
Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Clin Cosmet Investig Dermatol. 2025 Jan 16;18:109-119. doi: 10.2147/CCID.S476030. eCollection 2025.
Physicians are responsible for most decisions related to resource allocation and healthcare expenditures, and should consider cost in their decision-making approach.
To measure cost consciousness among dermatologists, evaluate their understanding of cost-related concepts, and explore what prevents them from factoring cost into their daily practice decisions.
This cross-sectional survey-based study involved dermatologists from different practice types and work environments. The survey is split into four sections, focusing on participants' (1) demographic and workplace information; (2) knowledge of cost-related terms; (3) personal cost-consciousness level; and (4) perceived barriers to factoring cost into clinical decisions.
Overall, 132 practicing dermatologists participated in the survey. Approximately 82% of them had heard of cost-effectiveness, but only 10% really understood how to indicate, interpret, and calculate it, while most had never heard of cost-consciousness or cost-containment. The majority agreed that it is the responsibility of physicians to contain medication costs, and almost all agreed that physicians need to do more to limit the prescription of unnecessary medications. Sex, long work experience, mixed administrative and clinical roles, and working in a mixed practice setting were all associated with cost consciousness. Multivariate regression analysis showed a significant association between having a mixed clinical and administrative professional role and cost consciousness.
Although most dermatologists agree that it is the responsibility of physicians to contain the cost when deciding on medication, they have limited understanding of cost-related concepts. Having a mixed clinical and administrative roles was a significant predictor of cost conscious behavior.
医生负责大多数与资源分配和医疗保健支出相关的决策，并且在决策方法中应考虑成本因素。
衡量皮肤科医生的成本意识，评估他们对成本相关概念的理解，并探讨阻碍他们在日常临床决策中考虑成本因素的原因。
这项基于横断面调查的研究涉及来自不同执业类型和工作环境的皮肤科医生。该调查分为四个部分，重点关注参与者的（1）人口统计学和工作场所信息；（2）对成本相关术语的了解；（3）个人成本意识水平；以及（4）在临床决策中考虑成本因素的感知障碍。
总体而言，132名执业皮肤科医生参与了调查。其中约82%听说过成本效益，但只有10%真正理解如何表示、解释和计算它，而大多数人从未听说过成本意识或成本控制。大多数人认为控制药物成本是医生的责任，几乎所有人都同意医生需要采取更多措施限制不必要药物的处方。性别、长期工作经验、行政和临床混合角色以及在混合执业环境中工作都与成本意识有关。多变量回归分析显示，临床和行政专业混合角色与成本意识之间存在显著关联。
尽管大多数皮肤科医生认为在决定用药时控制成本是医生的责任，但他们对成本相关概念的理解有限。临床和行政混合角色是成本意识行为的一个重要预测因素。
