Hochhauser M
Manag Care Interface. 1998 Nov;11(11):91-5.
Research has not adequately assessed the effect of education, ethnicity, and culture on the ability of consumers to read and understand HMO report cards. Data on those three issues suggest that large segments of the population do not have the reading proficiency to understand and use current report cards. Without incorporating such factors, reports cards will not achieve broad use within the general population, but will only meet the needs of those consumers whose values are consistent with those of the report card developers.
研究尚未充分评估教育、种族和文化对消费者阅读和理解健康维护组织（HMO）报告卡能力的影响。关于这三个问题的数据表明，很大一部分人口没有足够的阅读能力来理解和使用当前的报告卡。如果不考虑这些因素，报告卡将无法在普通人群中广泛使用，而只会满足那些价值观与报告卡开发者一致的消费者的需求。
