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美国运用小组决策练习“CHAT”进行关于医疗保险福利的公众审议的经验。

Experience in the United States with public deliberation about health insurance benefits using the small group decision exercise, CHAT.

作者信息

Danis Marion, Ginsburg Marjorie, Goold Susan

机构信息

Department of Bioethics, National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA.

出版信息

J Ambul Care Manage. 2010 Jul-Sep;33(3):205-14. doi: 10.1097/JAC.0b013e3181e56340.

Abstract

"Choosing Healthplans All Together" (CHAT) is a small group decision exercise designed to give the public a voice in priority setting in the face of unsustainable health care costs. It has been used for research, policy, and teaching purposes. Departments of insurance in various states in the United States have used CHAT to determine public opinion about what should be included in basic health insurance packages for the uninsured. Some municipalities have used it to assess public priorities for direct service delivery to the uninsured. Setting up the exercise requires substantial preparation, but the public finds it simple to use and understand.

摘要

“共同选择健康计划”(CHAT)是一项小组决策活动,旨在让公众在面对难以为继的医疗保健成本时,能够在确定优先事项方面发表意见。它已被用于研究、政策制定和教学目的。美国各州的保险部门已使用CHAT来确定公众对于未参保者基本医疗保险套餐应涵盖内容的看法。一些市政当局已用它来评估为未参保者提供直接服务的公共优先事项。开展这项活动需要大量准备工作,但公众发现它易于使用和理解。

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