Kasper J D, Riley G
Johns Hopkins School of Hygiene and Public Health.
J Aging Health. 1992 May;4(2):282-302. doi: 10.1177/089826439200400207.
This study investigates satisfaction with care among elderly Medicare beneficiaries enrolled in a health maintenance organization (HMO) and beneficiaries in fee-for-service (FFS) care in the same geographic area. Satisfaction with two dimensions of care, access/quality and costs, are examined, to investigate differences in enrollee/FFS evaluation of these dimensions of care as well as predictors of satisfaction with care. In addition, satisfaction among healthy and chronically ill elderly people in these two care settings is explored. Results indicate higher satisfaction with access/quality of care among those in FFS and higher satisfaction with costs among HMO enrollees. These relationships hold controlling for other variables and among the chronically ill elderly. Sources of variation in satisfaction are somewhat different among the HMO and FFS elderly. Satisfaction with paperwork and ease of getting to care, however, influences satisfaction with other aspects of care in both populations.
本研究调查了加入健康维护组织（HMO）的老年医疗保险受益人与同一地理区域内按服务收费（FFS）护理的受益人对护理的满意度。研究考察了护理的两个维度，即获得护理的机会/质量和成本方面的满意度，以调查参保人/FFS对这些护理维度的评价差异以及护理满意度的预测因素。此外，还探讨了这两种护理环境下健康和患有慢性病的老年人的满意度。结果表明，FFS人群对护理获得机会/质量的满意度较高，而HMO参保人对成本的满意度较高。在控制其他变量的情况下以及在慢性病老年人中，这些关系依然成立。HMO和FFS老年人在满意度的变化来源方面略有不同。然而，对文书工作和获得护理的便利性的满意度会影响这两类人群对护理其他方面的满意度。
