Lo Sasso A T, Perloff L, Schield J, Murphy J J, Mortimer J D, Budetti P P
Institute for Health Services Research and Policy Studies (IHSRPS), Northwestern University, Chicago, USA.
Health Aff (Millwood). 1999 Nov-Dec;18(6):212-23. doi: 10.1377/hlthaff.18.6.212.
We explore the extent of "responsible purchasing" by employers--the degree to which employers collect and use nonfinancial information in selecting and managing employee health plans. Most firms believe that they have some responsibility for assessing the quality of the health plans they offer. Some pay attention to plan characteristics such as the ability to provide adequate access to providers and services and scores on enrollee satisfaction surveys. A more limited but still notable number of firms take specific actions based on responsible purchasing information. Because of countervailing pressures, however, it is not clear whether or not the firms most involved in responsible purchasing are signaling a developing trend.
我们探究雇主进行“责任采购”的程度——即雇主在选择和管理员工健康计划时收集和使用非财务信息的程度。大多数公司认为，他们有责任评估所提供健康计划的质量。一些公司关注计划的特点，如提供充分的医疗服务提供者和服务的能力以及参保者满意度调查得分。然而，采取具体行动的公司数量更为有限，但仍值得注意。由于存在抵消性压力，尚不清楚那些最积极参与责任采购的公司是否预示着一种发展趋势。
