Preparing to Measure Health Coverage in Federal Surveys Post-Reform: Lessons from Massachusetts
Preparing to Measure Health Coverage in Federal Surveys Post-Reform: Lessons from Massachusetts
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DOI：
10.1177/0046958013513679
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发表时间：
2013-05-01
影响因子：
1.7
通讯作者：
Schoua-Glusberg, Alisu
中科院分区：
文献类型：
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作者：
Pascale, Joanne;Rodean, Jonathan;Schoua-Glusberg, Alisu
为准备2014年的医疗改革，对马萨诸塞州居民进行了定性研究，探讨如何调整调查以适应有关医疗交换的报告信息。当提供特定州的交换计划名称时，有关交换参与的问题是有效的，但诸如“市场”和“交换”之类的通用术语并没有引起受访者的共鸣。然而，受访者能够理解有关保费和补贴的新问题，并以高度准确的方式回答。这些问题，连同计划类型的答案，足以区分医疗补助、有补贴的交换保险和无补贴的保险，即使没有特定州交换计划名称的好处。
In preparation for health reform in 2014, qualitative research was conducted with Massachusetts residents to explore how to adapt surveys to accommodate reporting information about health exchanges. Questions about exchange participation were effective when state-specific exchange program names were offered, but generic terms such as "marketplace" and "exchange" did not resonate with respondents. However, respondents were able to understand new questions about premiums and subsidies and to answer with a high degree of accuracy. These questions, taken in tandem with answers on plan type, were sufficient to distinguish among Medicaid, subsidized exchange coverage, and unsubsidized coverage, even without the benefit of state-specific exchange program names.