Out-of-Plan Use Under Two Prepaid Plans
Bibliographic Data
| ID | 9098328 |
|---|---|
| Authors | Anne A Scitovsky (Palo Alto Institute, corresponding author), Lee Benham, Nelda McCall |
| Year | 1981 |
| Volume | 19 |
| Issue | 12 |
| Pages | 1165-1193 |
| Publication date | 1981-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198112000-00002 |
| PMID | 7339306 |
| OpenAlex | W2001080309 |
| Language | EN |
| Citations received | 3 |
| References cited | 9 |
This analysis of out-of-plan use of physician and paramedical services under a Kaiser plan and under a prepaid option offered by a predominantly fee-for-service group practice (Clinic plan) deals primarily with services that members could have obtained from plan providers ("covered services"). The extent and pattern of out-of-plan use were found to be similar. While 16-20 per cent of plan members used some out-of-plan covered services and the mean number of such services was about one half visit per member per year, most out-of-plan user were occasional user, 10-12 per cent of user (or 2 per cent of plan members) accounting for 50 per cent of all out-of-plan covered services. The principal members characteristics associated with out-of-plan use were dissatisfaction, health status and having other insurance. The literature on out-of-plan use is also reviewed
Business · Computer security · Geography · Health care · Health insurance · Health plan · Operations management · Plan (archaeology) · Political science · Principal (computer security) · Service (business) · Computer Science · Engineering · Healthcare Operations and Scheduling Optimization · Healthcare Policy and Management · Hospital Admissions and Outcomes · Law · Marketing
Health maintenance organizations
Consumer satisfaction with group practice, the CHA case
Membership Attitudes in the Labor Health Institute of St. Louis
The Organization of Medical Practice and Patient Behavior
Use of Physician Services under Two Prepaid Plans
Expectations and Experience of HMO Enrollees after One Year
Factors Affecting the Choice Between Two Prepaid Plans
Use of Hospital Services Under Two Prepaid Plans
Factors Affecting the Choice of Medical Care Among University Students
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,07 |
| Citation span | 1983 - 1987 (5) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |