Nair K V
University of Colorado Health Sciences Center, School of Pharmacy, Denver, USA.
Manag Care Interface. 2001 Dec;14(12):51-4.
Consumers have ready access to their health plan information packages, and the utility of this source in providing information about health and pharmacy benefits to consumers should be evaluated. A preliminary evaluation using a sample of student consumers enrolled in a variety of health plans was conducted. Findings revealed that consumer information is lacking in areas related to the definition of pharmacy benefit terminology, cost sharing for medications and services, provider selection, and referral processes. Managed care decision makers will benefit from understanding the informational needs of their members and from designing health care benefit information to accommodate these needs.
消费者可以方便地获取他们的健康计划信息包，应该评估这一信息源在向消费者提供有关健康和药房福利信息方面的效用。我们使用了参加各种健康计划的学生消费者样本进行了初步评估。研究结果显示，在与药房福利术语的定义、药物和服务的费用分摊、提供者选择以及转诊流程相关的领域，消费者信息存在缺失。管理式医疗决策者将受益于了解其成员的信息需求，并设计医疗福利信息以满足这些需求。
