EFFECTIVE COMMUNICATION TO IMPROVE DECISION MAKING ABOUT HEALTH CARE PLANS

描述（由申请人提供）：由于患者保护和平价医疗法案的通过，到2014年，5200万没有医疗保险的美国人将有资格通过交换系统获得保险，该系统允许他们从多个医疗保健计划中进行选择。了解有关每个计划的信息，对计划进行比较，并选择最适合自己需求的计划将是必不可少的，并且需要简单，清晰的信息来解释计划差异。然而，理解和比较计划是困难的，特别是对于健康素养低和算术技能低的人。这项研究将评估三种策略，以最大限度地了解和能力，比较目前没有保险的美国人之间的计划信息。我们的应用程序旨在：（1）检查目前没有保险的个人对医疗保健计划的术语和细节的理解，（2）应用推荐的策略，以提高目前没有保险的个人的医疗保健计划信息的有效性;（3）在随机实验中测试这些策略对目前没有保险的个人提供医疗保健计划信息的影响。我们将评估陈述策略对理解的影响，对信息的满意度，信息的感知相关性，以及做出医疗保健计划选择的信心。我们还将研究结果是否因个体特征而异，包括人口统计学，健康素养，算术和健康信息偏好。我们将使用此应用程序中开发的信息，为州和联邦级别的医疗改革实施提供信息，因为规则和法规已编写，医疗保险交易所已开发。在当前研究中发现有效的策略将用于未来的R 01，以确定其对实际医疗保健计划决策的影响。我们将根据这一重要的形成性研究的结果，在未来的应用中修改或补充我们的沟通策略。 公共卫生相关性：由于《患者保护和平价医疗法案》的通过，到2014年，5200万没有医疗保险的美国人将有资格通过一个交换系统获得保险，该系统允许他们从多种医疗保健计划中进行选择。了解有关每个计划的信息，对计划进行比较，并选择最适合自己需求的计划将是必不可少的，并且需要简单，清晰的信息来解释计划差异。这项研究将评估三种策略，以最大限度地了解和能力，比较目前没有保险的美国人之间的计划信息。结果将提供建议的方式来沟通信息的个人谁是新的医疗保健系统，将被要求在健康保险交易所作出计划的选择。

DESCRIPTION (provided by applicant): As a result of the passage of the Patient Protection and Affordable Care Act, by 2014, 52 million Americans without health insurance will be eligible for insurance through an exchange system that allows them to choose from multiple health care plans. Understanding information about each plan, making comparisons across plans, and choosing a plan that best suits one's needs will be essential, and requires simple, clear information that explains plan differences. However, understanding and comparing plans is difficult, especially for individuals with low health literacy and low numeracy skills. This study will evaluate three strategies to maximize understanding and ability to compare plan information among currently uninsured Americans. Our application aims to: (1) Examine currently uninsured individuals' understanding of the terminology and details of health care plans, (2) Apply recommended strategies for enhancing the effectiveness of information about health care plans to currently uninsured individuals; and (3) Test the effects of these strategies for presenting health care plan information to currently uninsured individuals in a randomized experiment. We will evaluate the effects of presentation strategy on understanding, satisfaction with the information, perceived relevance of the information, and confidence in making a health care plan choice. We will also examine whether outcomes vary by individual characteristics including demographics, health literacy, numeracy, and health information preferences. We will use the information developed in this application to inform health reform implementation at the state and federal levels, as rules and regulations are written and health insurance exchanges are developed. Strategies found to be effective in the current study will be used in a future R01 to determine their effects on actual health care plan decisions. We will modify or supplement our communication strategies in future applications based on the results of this important formative research. PUBLIC HEALTH RELEVANCE: As a result of the passage of the Patient Protection and Affordable Care Act, by 2014, 52 million Americans without health insurance will be eligible for insurance through an exchange system that allows them to choose from multiple health care plans. Understanding information about each plan, making comparisons across plans, and choosing a plan that best suits one's needs will be essential, and requires simple, clear information that explains plan differences. This study will evaluate three strategies to maximize understanding and ability to compare plan information among currently uninsured Americans. Results will provide recommendations for ways to communicate information to individuals who are new to the health care system and will be required to make plan choices in the health insurance exchange.