Despite the fact that medical coverage for many Americans is shifting rapidly from traditional insurance to managed care, studies suggest that most citizens have limited knowledge or understanding of the implication of this change.
To evaluate the predominant message being portrayed by the lay press on managed care.
We conducted a review of newspaper articles dealing with managed care from several leading national newspapers.
Surveys, editorials, letters to the editor, or nonclinical articles were excluded.
The articles were examined to evaluate their likely effect on the reader's willingness to join a managed care organization, and were scored using a standardized survey instrument.
The final analysis included data from 85 articles from an original pool of 277.
In only 8% of cases, the articles were considered likely to have had a positive influence on the reader and, thus, encourage them to join or remain with a managed care organization.
More important, in fully two thirds of cases, we believed the articles portrayed so unfavorable a message that the reader was less likely to join, or might even decide to leave, a managed care organization.
The articles dealt most frequently (67%) with patient concerns with managed care, focused mainly on cost and quality issues, and managed care representatives were the people whose opinions were most commonly (53%) solicited. (...)
Mots-clés Pascal : Soin intégré, Opinion publique, Journal, Revue bibliographique, Article, Prise décision, Information public, Evaluation, Organisation santé, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Managed care, Public opinion, Newspaper, Bibliographic review, Article, Decision making, Public information, Evaluation, Public health organization, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0518267
Code Inist : 002B30A01B. Création : 23/03/1999.