Journal article
Health Service Utilization and Attitudes toward Health Maintenance Organizations: A Theoretical and Methodological Discussion
Journal of health and social behavior, Vol.17(3), pp.221-236
09/01/1976
DOI: 10.2307/2136544
PMID: 1002963
Abstract
2 areas of concern were investigated. The 1st involved the empirical assessment of a general framework for theory & research in health service utilization studies, developed as a modification of L. A. Aday & R. Anderson's causal structure of access to medical care ("A Framework for the Study of Access to Medical Care," Health Services Research, 1974, 9, 208-220). Analysis of this framework involved multiple regression techniques on data from a regional cross-sectional survey of 487 households, conducted in 1972. The data demonstrate support for the general framework. The 2nd purpose centers around the extant findings that health maintenance organization (HMO) subscribers are less satisfied with their health care than are the conventionally insured. Using the general framework to see what health service utilization characteristics were likely to predispose one to join an HMO, would-be joiners appeared more likely to be high users of preventive services. Because the main purpose of the HMO is to increase the use of preventive services, & assuming a reasonable rate of diminishing returns of such care, then a "ceiling effect" takes place in which the would-be joiner cannot increase the use of preventive care very much, & hence is plausibly & expectably less satisfied with the HMO. 2 Figures, 2 Tables. Modified HA.
Details
- Title: Subtitle
- Health Service Utilization and Attitudes toward Health Maintenance Organizations: A Theoretical and Methodological Discussion
- Creators
- Fredric Wolinsky
- Resource Type
- Journal article
- Publication Details
- Journal of health and social behavior, Vol.17(3), pp.221-236
- DOI
- 10.2307/2136544
- PMID
- 1002963
- ISSN
- 0022-1465
- eISSN
- 2150-6000
- Language
- English
- Date published
- 09/01/1976
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984363577102771
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