Buntin Melinda Beeuwkes, Damberg Cheryl, Haviland Amelia, Kapur Kanika, Lurie Nicole, McDevitt Roland, Marquis M Susan
RAND, Arlington, Virginia, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w516-30. doi: 10.1377/hlthaff.25.w516. Epub 2006 Oct 24.
Demand for consumer-directed health care (CDHC) is growing among purchasers of care, and early evidence about its effects is beginning to emerge. Studies to date are consistent with effects predicted by earlier literature: There is evidence of modest favorable health selection and early reports that consumer-directed plans are associated with both lower costs and lower cost increases. The early effects of CDHC on quality are mixed, with evidence of both appropriate and inappropriate changes in care use. Greater information about prices, quality, and treatment choices will be critical if CDHC is to achieve its goals.
在医疗服务购买者中，对消费者主导型医疗保健（CDHC）的需求正在增长，有关其效果的早期证据也开始显现。迄今为止的研究结果与早期文献预测的效果一致：有证据表明存在适度有利的健康选择，并且有早期报告称消费者主导型计划与更低的成本以及更低的成本增长相关。CDHC对医疗质量的早期影响喜忧参半，既有医疗使用方面合理变化的证据，也有不合理变化的证据。如果CDHC要实现其目标，更多关于价格、质量和治疗选择的信息将至关重要。
