Despite the considerable attention paid to the collection of data and the publication of health plan report cards, there is no available study on the comparability of published report cards.
Ratings from seven health plan report cards publicly available in fall 1996 were compared - including those produced by major periodicals, a large national employer, a nonprofit consumer group, a health maintenance organization accreditation agency, and a consortium of employers.
Dimensions of plan performance common to the seven report cards were identified.
Spearman rank correlation coefficients were computed for each pair of report cards for each of three dimensions that were evaluated.
Comparability of report cards : Although plan ratings tended to be positively correlated as hypothesized, the magnitude of the estimated correlation coefficients varied.
For example, the estimated correlation coefficient between two periodicals'overall plan ratings was 0.48.
The ranges of estimated correlations were 0.18-0.70 for preventive care (among four report cards) and 0.19-0.73 for enrollee satisfaction (among three report cards).
Discrepancies in ratings may reflect methodologic issues pertaining to the sample of health plans used, plan performance measures included, and the processes by which individual measures were aggregated to construct indices and ratings.
Health plan report cards may be sending mixed signals to consumers. (...)
Mots-clés Pascal : Fiche, Information, Evaluation, Méthodologie, Santé, Nursing, Soin, Ethique, Médecin, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Monde, Protection sociale, Document, Typologie, Indicateur, Mesure, Plan, Processus, Satisfaction, Utilisateur, Prévention, Politique sanitaire, Qualité, Aspect politique, Géographie, Système santé
Mots-clés Pascal anglais : Card, Information, Evaluation, Methodology, Health, Nursing, Care, Ethics, Physician, Professional practice, United States, North America, America, World, Welfare aids, Document, Typology, Indicator, Measurement, Plane, Process, Satisfaction, User, Prevention, Health policy, Quality, Political aspect, Geography, Health system
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 21/07/1998.