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  1. Are all health plans created equal ? The physician's view.

    Article - En anglais

    Context. - The health care market is demanding increasing amounts of information regarding quality of care in health plans.

    Physicians are a potentially important but infrequently used source of such information.


    - To assess physicians'views on health plan practices that promote or impede delivery of high-quality care in health plans and to compare ratings between plans.


    - Minneapolis-St Paul, Minn.


    - One hundred physicians in each of 3 health plans.

    Each physician rated 1 health plan.

    Main Outcome Measures

    - Likert-type items that assessed health plan practices that promote or impede delivery of high-quality care.


    - A total of 249 physicians (84%) completed the survey.

    Fewer than 20% of all physicians gave plans the highest rating (excellent or strongly agree) for health plan practices that promote delivery of high-quality care (such as providing continuing medical education for physicians, identifying patients needing preventive care, and providing physicians feedback about practice patterns).

    Barriers to delivering high-quality care related to sufficiency of time to spend with patients, covered benefits and copayment structure, and utilization management practices.

    Ratings differed across health plans.

    For example, the percentage of physicians indicating that they would recommend the plan they rated to their own family was 64% for plan 1,92% for plan 2, and 24% for plan 3 (P<. 001 for all comparisons).



    Mots-clés Pascal : Système santé, Enquête opinion, Communication information, Planification nationale, Médecin généraliste, Qualité service, Relation médecin malade, Evaluation, Homme, Organisation santé, Politique sanitaire

    Mots-clés Pascal anglais : Health system, Opinion inquiry, Information communication, National planning, General practitioner, Service quality, Physician patient relation, Evaluation, Human, Public health organization, Health policy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0485179

    Code Inist : 002B30A05. Création : 03/02/1998.