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Comment & Response
November 27, 2013

Health Care Cost Control and Views of Physicians—Reply

Author Affiliations
  • 1Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota
  • 2Institute for Ethics, American Medical Association, Chicago, Illinois
  • 3Department of General Internal Medicine, University of Michigan Medical Center, Ann Arbor
JAMA. 2013;310(20):2200-2201. doi:10.1001/jama.2013.282147

In Reply Ms Weiner raises the possibility that our survey item, “Please rate the degree of responsibility (if any) each of these entities should have in reducing the cost of health care,” could have been misinterpreted as, “What degree of responsibility do each of the following have for increases in health care costs?” Cognitive pretesting during survey development did not reveal such ambiguity, yet Weiner’s hypothesis remains plausible and speaks to some inherent limitations of survey self-reports.