Expectations and Experience of HMO Enrollees after One Year
An Analysis of Satisfaction, Utilization, and Costs
Bibliographic Data
| ID | 9101340 |
|---|---|
| Authors | Marie Ashcraft, Roy Penchansky, S E Berki, Robert S Fortus, John Gray (0000-0003-3373-9453) |
| Year | 1978 |
| Volume | 16 |
| Issue | 1 |
| Pages | 14-32 |
| Publication date | 1978-01-01 |
| 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 | 10.1097/00005650-197801000-00002 |
| PMID | 621974 |
| OpenAlex | W2002121757 |
| Language | EN |
| Citations received | 15 |
| References cited | 7 |
The impact of HMO enrollment on utilization and satisfaction in a sample of industrial employees was investigated using a panel study design. Preenrollment and postenrollment ambulatory utilization rates, out-of-pocket costs, and measures of satisfaction are presented for enrollees in two closed- and one open-panel HMO-type plans. Their health care experiences are compared to those of reenrollees remaining in the HMOs during both surveys, as well as to those retaining their Blue Cross-Blue Shield membership. Lack of access to and dissatisfaction with previous sources of care distinguished the preenrollment experience of those who selected the closed-panel plans; their postenrollment experience produced increasing satisfaction reflecting that their expectations in these areas were met. Continuing enrollees in closed-panel plans were somewhat less satisfied after a year of experience than they were earlier. Those who joined the open-panel plan did so because of the expanded benefits and financial advantages which, their postenrollment experience showed, were accurately perceived. Utilization patterns also changed: continuing enrollees in both types of plans made fewer illness but more preventive visits; new enrollees used greater numbers of both types of services after enrolling than before
Family medicine · MEDLINE · Political science · Sociology · Demography · Employment and Welfare Studies · Geriatric Care and Nursing Homes · Medicine · Psychology · Workplace Health and Well-being · Gerontology
Une loi de distribution des fréquences des visites aux omnipraticiens
Toward a theory of patient satisfaction
The quality of ambulatory care in Medicare health maintenance organizations
Mode of Payment as a Predictor of Health Status, Use of Health Services and Preventive Health Behavior
Enrollment Choices in Different Types of HMOs
Price and Membership in a Prepaid Group Medical Practice
Patterns of Utilization
Out-of-Plan Use Under Two Prepaid Plans
Out-of-Plan Use and Disenrollment
HMO Satisfaction and Understanding Among Recent Medicare Enrollees
Patient satisfaction in primary health care
Age Differences in HMO Receptivity
Age and Patterns of HMO Satisfaction
Socioeconomic Status and Dissatisfaction Among HMO Enrollees
Mothers' satisfaction with the cost of children's care
Patterns of medical use by the indigent aged under two systems of medical care
Dual Choice Programs
The Impact of Prepaid Group Practice on American Medical Care
Documentation of Twenty Years of Operation and Growth of a Prepaid Group Practice Plan
The Effect of Duration of Membership in a Prepaid Group Health Plan on the Utilization of Services
Enrollment Choice in a Multi-HMO Setting
Medical Care Utilization in an Experimental Prepaid Group Practice Model in a University Medical Center
| Unique citing works | 15 |
|---|---|
| Citations per year | 0,31 |
| Citation span | 1978 - 2000 (23) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |