Ward R A
State University of New York, Albany 12222.
J Aging Health. 1990 May;2(2):242-60. doi: 10.1177/089826439000200206.
Consumerism and increasing complexity in health care options highlight the importance of health care satisfaction. Patterns and sources of satisfaction are assessed for health maintenance organizations (HMOs), a relatively novel option, using national survey data. Particular attention is paid to age differences, because HMO Medicare coverage is a recent development and older people generally express little HMO familiarity or receptivity. Higher satisfaction is expressed by HMO members than by nonmembers for both younger and older persons. HMO satisfaction is higher for older than for younger members, a pattern at odds with nonmember attitudes about HMOs. Member satisfaction is a function of the nature of patient/provider ties and related attitudes, as it is among nonmembers. Importance of a "regular" provider is particularly evident among older HMO members. Patterns of HMO satisfaction among older members likely reflects both cohort differences and age-associated patterns of health and related attitudes.
消费主义以及医疗保健选择日益复杂凸显了医疗保健满意度的重要性。利用全国调查数据，对健康维护组织（HMO）这一相对新颖的选择的满意度模式和来源进行了评估。特别关注年龄差异，因为HMO医疗保险覆盖范围是最近才出现的，而且老年人通常对HMO了解甚少或接受度不高。HMO成员在年轻人和老年人中都比非成员表达出更高的满意度。老年成员的HMO满意度高于年轻成员，这一模式与非成员对HMO的态度不一致。成员满意度与患者/提供者关系的性质及相关态度有关，非成员也是如此。“固定”提供者的重要性在老年HMO成员中尤为明显。老年成员中HMO满意度模式可能既反映了队列差异，也反映了与年龄相关的健康模式及相关态度。
