EurekaMag
+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Consumer beliefs and health plan performance: it's not whether you are in an HMO but whether you think you are


Consumer beliefs and health plan performance: it's not whether you are in an HMO but whether you think you are



Journal of Health Politics Policy and Law 27(3): 353-377



ISSN/ISBN: 0361-6878

PMID: 12092673

DOI: 10.1215/03616878-27-3-353

Surveys that rate how persons enrolled in HMOs and other types of health coverage feel about their health care are used to bolster claims that HMOs provide inferior quality care, providing justification for patient protection legislation. This research illustrates that the conventional wisdom regarding inferior care in HMOs may color how people assess their health care in surveys, resulting in survey findings biased toward showing HMOs provide inferior care and reinforcing existing stereotypes. Using merged data from the Community Tracking Study Household and Insurance Followback surveys, we identify privately insured persons who correctly and incorrectly know what kind of health plan they are covered by. Nearly a quarter misidentified their type of health coverage. Differences between responses by HMO and non-HMO enrollees to questions covering satisfaction with health care and physician choice, the quality of the last physician's visit, and patient trust in their physician shrink or disappear when we control for beliefs about what type of plan they are covered by. Results suggest that researchers and policy makers should be cautious about using consumer surveys to assess the relative quality of care provided under different types of health insurance.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045632448

Download citation: RISBibTeXText

Related references

Consumer surveys of health plan performance: a comparison of content and approach and a look to the future. Joint Commission Journal on Quality Improvement 22(12): 775-794, 1996

Dimensions of plan performance for sick and healthy members on the Consumer Assessments of Health Plans Study 2.0 survey. Medical Care 40(10): 951-964, 2002

Do consumer reports of health plan quality affect health plan selection?. Health Services Research 35(5 Pt 1): 933-947, 2000

Consumer experiences in a consumer-driven health plan. Health Services Research 39(4 Pt 2): 1123-1140, 2004

Consumer determinants of the use of health plan information in plan selection. Health Services Management Research 19(4): 232-250, 2006

Comparing quality of care between a consumer-directed health plan and a traditional plan: an analysis of HEDIS measures related to management of chronic diseases. Population Health Management 12(2): 61-67, 2009

Health literacy and health care spending and utilization in a consumer-driven health plan. Journal of Health Communication 16 Suppl. 3: 308-321, 2011

Physician performance in a prepaid health plan: results of the peer review program of the Health Insurance Plan of Greater New York. Medical Care 20(2): 127-142, 1982

Consumer Engagement with Prescription Medicine Decisions: Influences of Health Beliefs and Health Communication Sources. Health Communication 35(2): 135-147, 2020

Consumer-choice health plan (first of two parts). Inflation and inequity in health care today: alternatives for cost control and an analysis of proposals for national health insurance. New England Journal of Medicine 298(12): 650-658, 1978

A critique of market reform in health care: the "Consumer-Choice Health Plan". Journal of Health Politics Policy and Law 5(4): 720-741, 1981

Health plan blues. Users weigh in on the new consumer-driven health plans. U.S. News and World Report 141(23): 67, 2006

Consumer health beliefs and food supplement use by the elderly. Journal of consumer studies and home economics 13(3): 247-261, 1989

Defined contribution health plan to consumer driven health benefits: evolution and experience. Benefits Quarterly 20(2): 49-59, 2004

Health care cost control through incentives and competition: consumer-choice health plan. Socioeconomic Issues of Health 1979: 23-39, 1979