The effect of consumer-directed health plans on the use of preventive and chronic illness services.
The effect of consumer-directed health plans on the use of preventive and chronic illness services.
复制标题
以消费者为导向的健康计划对预防性和慢性病服务的使用的影响。
DOI：
10.1377/hlthaff.27.1.113
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发表时间：
2008
期刊：
影响因子：
9.7
通讯作者：
J. Newhouse
中科院分区：
文献类型：
--
作者：
J. Rowe;Tina Brown;Robert L. Downey;J. Newhouse
我们比较了连续三年参加消费者导向健康计划 (CDHP) 的 17,411 人与参加首选医疗服务提供者组织 (PPO) 的 128,444 人的匹配组对预防、癌症筛查和糖尿病监测服务的使用情况。在 CDHP 中，预防和筛查服务是免费的。在三年的随访中，两组的使用水平和趋势相似。这些结果支持根据服务对未来健康状况和成本的影响来改变服务成本分摊的程度。
We compared use of preventive, cancer screening, and diabetic monitoring services among 17,411 people who were continuously enrolled in a consumer-directed health plan (CDHP) for three years with a matched group of 128,444 people who were enrolled in a preferred provider organization (PPO). In the CDHPs, preventive and screening services were free. Levels and trends in use were similar between the two groups over the three years of follow-up. These results support varying the degree of cost sharing for services depending on the effect of the service on future health status and costs.