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Expectations and Experience of HMO Enrollees after One Year

An Analysis of Satisfaction, Utilization, and Costs

Bibliographic Data

ID9101340
AuthorsMarie Ashcraft, Roy Penchansky, S E Berki, Robert S Fortus, John Gray (0000-0003-3373-9453)
Year1978
Volume16
Issue1
Pages14-32
Publication date1978-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197801000-00002
PMID621974
OpenAlexW2002121757
LanguageEN
Citations received15
References cited7

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

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Unique citing works15
Citations per year0,31
Citation span1978 - 2000 (23)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5
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