HMO plan performance update: An analysis of the literature, 1997-2001
HMO plan performance update: An analysis of the literature, 1997-2001
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DOI：
10.1377/hlthaff.21.4.63
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发表时间：
2002-07-01
期刊：
影响因子：
9.7
通讯作者：
Luft, HS
中科院分区：
文献类型：
--
作者：
Miller, RH;Luft, HS
本文综合了 1997 年至 2001 年中期发表的同行评审文献的结果，涉及健康维护组织 (HMO) 计划绩效的各个方面。七十九项研究的结果表明，两种类型的计划提供的护理质量大致相当，而 HMO 则在一定程度上降低了对医院和其他昂贵资源的使用。与此同时，与非 HMO 参与者相比，HMO 参与者在许多获得护理的衡量指标上表现较差，满意度也较低。护理质量结果尤其是异质性的，这表明质量并不一致——在提供者、计划（HMO 和非 HMO）和地理区域之间差异很大。
This paper synthesizes results from peer-reviewed literature published from 1997 to mid-2001, on various dimensions of health maintenance organization (HMO) plan performance. Results from seventy-nine studies suggest that both types of plans provide roughly comparable quality of care, while HMOs lower use of hospital and other expensive resources somewhat. At the same time, HMO enrollees report worse results on many measures of access to care and lower levels of satisfaction, compared with non-HMO enrollees. Quality-of-care results in particular are heterogeneous, which suggests that quality is not uniform-that it varies widely among providers, plans (HMO and non-HMO), and geographic areas.