Pascale Joanne, Rodean Jonathan, Leeman Jennifer, Cosenza Carol, Schoua-Glusberg Alisu
US Census Bureau, Washington, DC, USA.
Inquiry. 2013 May;50(2):106-23. doi: 10.1177/0046958013513679.
In preparation for health reform in 2014, qualitative research was conducted with Massachusetts residents to explore how to adapt surveys to accommodate reporting information about health exchanges. Questions about exchange participation were effective when state-specific exchange program names were offered, but generic terms such as "marketplace" and "exchange" did not resonate with respondents. However, respondents were able to understand new questions about premiums and subsidies and to answer with a high degree of accuracy. These questions, taken in tandem with answers on plan type, were sufficient to distinguish among Medicaid, subsidized exchange coverage, and unsubsidized coverage, even without the benefit of state-specific exchange program names.
为筹备2014年的医疗改革，对马萨诸塞州居民开展了定性研究，以探索如何调整调查，使其能够收集有关医保交易所的报告信息。当提供特定州的医保交易所项目名称时，关于参与交易所的问题很有效，但“市场”和“交易所”等通用术语并未引起受访者的共鸣。然而，受访者能够理解有关保费和补贴的新问题，并能高度准确地回答。这些问题，再结合关于保险计划类型的答案，足以区分医疗补助、补贴性交易所保险和非补贴性保险，即使没有特定州的医保交易所项目名称也能做到。
