Ezekiel Emanuel, OncologyNurseAdvisor, Cancer Patient Demands
Despite the claims by many physicians that cancer patient demand is a major driver of high medical costs, a new study led by Ezekiel Emanuel found that clinically inappropriate demands occur in only 1% of oncology encounters, and clinicians comply with very few of those.
The study by a Penn Medicine team, which is the subject of an article in OncologyNurseAdvisor, was published in this month's issue of JAMA Oncology. The research findings are based on an analysis of 5,050 interactions between clinicians and patients. “At least in oncology, 'demanding patients' seem infrequent and may not account for a significant proportion of costs,” the study concluded.
Emanuel, PhD, MD, MSc, is an oncologist and Chair of the Penn Department of Medical Ethics and Health Policy, and an LDI Senior Fellow.