The Content of Report Cards : Do Primary Care Physicians and Managed Care Medical Directors Know What Health Plan Members Think Is Important ?
Health plan report cards are intended to inform consumers about relative achievements of heath plans in delivering quality medical care.
Several recent studies suggest that information in these report cards only partly addresses the aspects of medical care which are important to health plan members'perspectives on quality.
That is, enrollees may be interested in both process and outcome measures of quality.
Companion surveys were conducted in 1997-1998 to ascertain the aspects of medical care judged to be important to health plan members.
Surveys were conducted with health plan members, physicians, and medical directors.
Scales were formed related to quality of medical care (access/setting, interaction with providers, satisfaction, outcomes) and were found to be reliable.
Variation in importance was assessed by classes of health plan members.
The scales for rating importance of medical care quality were found to be sufficiently reliable (Cronbach's alphas greater than 0.75).
Interaction with providers was judged to be most important and outcomes of care least important.
Health plan members with fair/poor health or specific chronic diseases placed relatively more importance on outcomes of care than did others.
Health plan members and physicians were generally consistent in judging the relative importance of interactions with providers in health plan members'impressions of quality. (...)
Mots-clés Pascal : Echelle, Consommateur, Soin, Qualité
Mots-clés Pascal anglais : Scale (size), Consumer, Care, Quality
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 14/12/1999.