Mode of Payment as a Predictor of Health Status, Use of Health Services and Preventive Health Behavior

Several issues relevant to Health Maintenance Organizations (HMOs) were examined in this article using data collected from the Los Angeles Health Survey. No support was found for the hypothesis that HMOs disproportionately attract people in poorer health. In fact, HMO members actually reported lower rates of acute or occasional illness and disability than fee-for-service subscribers (FFS). HMO members also reported lower total family incomes and educational status than FFS subscribers and they were less likely to report having a regular doctor. Few differences were found between the two groups in reports of using health services and practicing preventive health behavior. However, HMO members were more likely to report a recent physical examination--but only after taking into account the fact that they were less likely to have a regular doctor. It has been shown that these findings are consistent with recent evidence, and serve to amplify serveral key findings reported in other studies

Business · Environmental health · Health behavior · Health services · Mode (computer interface) · Payment · Computer Science · Finance · Global Health Care Issues · Health and Wellbeing Research · Healthcare Policy and Management · Medicine

• Determinants of Primary Medical Care Use among Urban American Indians

  Open Access•Timothy L Taylor•American Indian Culture and…•1989

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• Risk Selection of Families Electing HMO Membership

  Joan L Buchanan, Shan Cretin•Medical Care•1986

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• Sickness Absenteeism in Members of Health Maintenance Organizations and Open-Market Health Insurance Plans

  Milton I Roemer•Medical Care•1982

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• Hospital and Ambulatory Service Use by the Urban Elderly Under Different Health Care Delivery Systems

  Howard R Kelman, Cynthia Thomas•Medical Care•1988

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• Non-participation in telephone follow-up interviews

  Alfred C Marcus, Carol Telesky et al.•American Journal of Public Health•1983

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• Health status indices and access to medical care

  Ronald Andersen•American Journal of Public Health•1978

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• Use of Physician Services under Two Prepaid Plans

  Anne A Scitovsky, Lee Benham et al.•Medical Care•1979

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• Economic and Noneconomic Barriers to the Use of Needed Medical Services

  Lu Ann Aday•Medical Care•1975

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• Prepaid Group Practice in Sault Ste. Marie, Ontario

  J E F Hastings, Frederick D Mott et al.•Medical Care•1973

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• The Effects of an Experimental Prepaid Group Practice on Medical Care Utilization and Cost

  Gerald T Perkoff, Lawrence Kahn et al.•Medical Care•1976

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• Expectations and Experience of HMO Enrollees after One Year

  Marie Ashcraft, Roy Penchansky et al.•Medical Care•1978

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• Enrollment Choice in a Multi-HMO Setting

  S E Berki, Marie Ashcraft et al.•Medical Care•1977

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• Inpatient Hospital Utilization in Three Prepaid Comprehensive Health Care Plans Compared With a Regular Blue Cross Plan

  Richard Wersinger, Richard P Wersinger et al.•Medical Care•1976

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• The Effects of Social Characteristics on the Utilization of Preventive Medical Services in Contrasting Health Care Programs

  Doris P Slesinger, Richard C Tessler et al.•Medical Care•1976

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• The Role of New Health Practitioners in a Prepaid Group Practice

  David M Levine, Laura Morlock et al.•Medical Care•1976

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• Monitoring Health Status, Access to Health Care, and Compliance Behavior in a Large Urban Community

  Alfred C Marcus, Leo G Reeder et al.•Medical Care•1980

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