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提高对医疗补助计划客户及其他低收入人群邮寄调查问卷的回复率。

Increasing response rates for mailed surveys of Medicaid clients and other low-income populations.

作者信息

Gibson P J, Koepsell T D, Diehr P, Hale C

机构信息

Eli Lilly and Company, Indianapolis, IN 46285, USA.

出版信息

Am J Epidemiol. 1999 Jun 1;149(11):1057-62. doi: 10.1093/oxfordjournals.aje.a009751.

Abstract

Mailing surveys to low-income populations is often avoided because of concern about low response rates. In this study, the authors used a mailed survey of a low-income population to test whether $1.00 or $2.00 cash-response incentives were worth the expense and whether 2-day priority mail ($2.90 postage) would yield a sufficiently higher response rate than certified mail ($1.52 postage) to justify its cost. In 1994, 2,243 randomly selected families in subsidized health care programs in Pierce County, Washington, were randomly sent no incentive, $1.00, or $2.00 in the first of three mailings. For the third mailing, nonrespondents were randomly assigned to receive either certified or 2-day priority mail. After 4 weeks, the response rates were 36.7%, 48.1%, and 50.3% for the no-incentive, $1.00, and $2.00 groups, respectively. After three mailings, the cost per response was the lowest for the group that received $1.00. The response rate for the certified mailing (28.1%) was significantly higher than the rate for the more expensive priority mailing (21.7%). No incentive-related bias was detected. The authors concluded that the most efficient protocol for this low-income population was to use a $1.00 incentive in the first mailing and a certified third mailing.

摘要

由于担心回复率低,通常不会对低收入人群进行邮寄调查。在本研究中,作者对低收入人群进行了邮寄调查,以测试1美元或2美元的现金回复激励是否物有所值,以及两日优先邮件(邮费2.90美元)的回复率是否会比挂号信(邮费1.52美元)足够高,从而证明其成本合理。1994年,在华盛顿州皮尔斯县参加补贴医疗保健项目的2243个随机选择的家庭,在三次邮寄中的第一次被随机发送无激励、1美元或2美元。对于第三次邮寄,未回复者被随机分配接收挂号信或两日优先邮件。4周后,无激励组、1美元组和2美元组的回复率分别为36.7%、48.1%和50.3%。三次邮寄后,收到1美元的组每份回复的成本最低。挂号信的回复率(28.1%)显著高于更昂贵的优先邮件的回复率(21.7%)。未检测到与激励相关的偏差。作者得出结论,针对该低收入人群最有效的方案是在第一次邮寄时使用1美元的激励,并在第三次邮寄时使用挂号信。

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