Feldman R, Christianson J, Schultz J
Division of Health Services Research and Policy, University of Minnesota, Minneapolis 55455, USA.
Milbank Q. 2000;78(1):47-77, ii. doi: 10.1111/1468-0009.00161.
This study examines the use of information by employees in the Buyers Health Care Action Group, a purchasing coalition of large employers in Minneapolis. BHCAG employers contract directly with multiple health-care provider systems and attempt to inform employees about those choices. Shortly after the close of the 1998 open-enrollment period, a survey of 927 BHCAG employees with single-coverage health insurance was conducted. Seventy-six percent of the employees relied on information from their employer when selecting their current care system. Use of information from the employer was positively related to education and years of residence in the Twin Cities. Previous experience with doctors and hospitals in the care system also was a common information source. Older and low-income workers were more likely to use information from advertisements. The survey results suggest that employers can predict which information sources their employees will use.
本研究考察了明尼阿波利斯大型雇主采购联盟“买家医疗保健行动组织”(Buyers Health Care Action Group,简称BHCAG)中员工对信息的使用情况。BHCAG的雇主直接与多个医疗服务提供系统签约,并试图向员工通报这些选择。在1998年开放注册期结束后不久,对927名参加单人医疗保险的BHCAG员工进行了一项调查。76%的员工在选择当前的医疗系统时依赖雇主提供的信息。对雇主提供信息的使用与教育程度以及在双子城居住的年限呈正相关。在该医疗系统中与医生和医院的既往经历也是常见的信息来源。年龄较大和低收入的员工更有可能使用广告中的信息。调查结果表明,雇主能够预测其员工会使用哪些信息来源。