Does dissatisfaction with health plans stem from having no choices
Does dissatisfaction with health plans stem from having no choices
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DOI：
10.1377/hlthaff.17.5.184
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发表时间：
1998-09-01
期刊：
影响因子：
9.7
通讯作者：
Hugick, L
中科院分区：
文献类型：
--
作者：
Gawande, AA;Blendon, RJ;Hugick, L
1997年全国电话调查的数据被用来评估对管理性医疗的选择和公众舆论之间的关系。我们发现，只有少数劳动年龄人口有效地控制了他们得到的健康计划。没有选择的人对他们的健康计划明显更不满意，特别是当他们参加管理性医疗时。在多变量分析中，受访者如何评价他们的健康计划，既取决于他们是否缺乏选择，也取决于他们是否参加了管理型医疗保健。一般来说，没有选择的人对管理性医疗也有更多的负面看法。结果表明，只要消费者对健康保险决策几乎没有控制权，管理型医疗保健的“反弹”就可能持续下去。
Data from a 1997 nationwide telephone survey are used to assess the relationship between choice and public opinion about managed care. We found that only a minority of the working-age population effectively control what health plan they get. Persons without choice were markedly more dissatisfied with their health plan, especially when enrolled in managed care. In multivariate analysis, how respondents rated their health plan depended as much on whether they lacked choice as on whether they were enrolled in managed care. Persons without choice also had more negative opinions about managed care in general. The results suggest that the managed care "backlash" may persist so long as consumers have little control over health insurance decisions.