Lied Terry R, Sheingold Steven H, Landon Bruce E, Shaul James A, Cleary Paul D
Health Care Financ Rev. 2003 Fall;25(1):55-66.
Disenrollment rates have often been used as indicators of health plan quality, because they are readily available and easily understood by purchasers, health plans, and consumers. Over the past few years, however, indicators that more directly measure technical quality and consumer experiences with care have become available. In this observational study, we examined the relationship between voluntary disenrollment rates from Medicare managed care (MMC) plans and other measures of health plan quality. The results demonstrate that voluntary disenrollment rates are strongly related to direct measures of patient experiences with care and are an important complement to other measures of health plan performance.
退保率常常被用作健康计划质量的指标，因为这些数据易于获取，且购买者、健康计划机构和消费者都能轻松理解。然而在过去几年里，一些能更直接衡量技术质量和消费者就医体验的指标已经出现。在这项观察性研究中，我们考察了医疗保险管理式医疗（MMC）计划的自愿退保率与健康计划质量的其他衡量指标之间的关系。结果表明，自愿退保率与患者就医体验的直接衡量指标密切相关，并且是健康计划绩效其他衡量指标的重要补充。
