Patient activation among Medicare beneficiaries

Patient activation among Medicare beneficiaries
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医疗保险受益人中的患者激活

DOI:
10.1108/17506120710818210
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发表时间:
2007
影响因子:
1.2
通讯作者:
Amy Heller
Amy Heller
中科院分区:
--
文献类型:
--
作者:
Sunyna S. Williams;Amy Heller

文献摘要

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目的-本研究的目的是确定医疗保险受益人的受众群体,以便开展有针对性的、量身定做的沟通活动,以促进知情的医疗决策制定。设计/方法/方法-对2001年医疗保险当前受益人调查的数据进行二级分析。拥有关键变量完整数据的9,520名联邦医疗保险受益人构成了分析样本。Finding-Clusters分析确定了四个受众群体,这些群体在医疗决策技能和动机方面各有不同。那些处于活跃阶段的人是有技能和上进心的。那些处于被动阶段的人既没有技能,也没有动力。那些处于高努力阶段的人很有动力,但缺乏技能。而那些自满的人是有技能的,但没有动力。其他分析表明,这些细分也在几个其他感兴趣的变量上有所不同,例如知识、收入、教育、健康行为、健康状况和偏好…
Purpose – The purpose of this research is to identify audience segments of Medicare beneficiaries, for the development of targeted and tailored communication activities to promote informed health care decision making.Design/methodology/approach – Secondary analysis was conducted on data from the 2001 Medicare Current Beneficiary Survey. The 9,520 Medicare beneficiaries who had complete data on key variables constituted the analytic sample.Findings – Cluster analysis identified four audience segments that varied separately with regard to health care decision‐making skills and motivation. Those in the active segment are skilled and motivated. Those in the passive segment are unskilled and unmotivated. Those in the high effort segment are motivated, but unskilled. And those in the complacent segment are skilled, but unmotivated. Additional analyses showed that the segments also varied on several additional variables of interest, such as knowledge, income, education, health behavior, health status, and prefer...