Allen H M
Health Psychol. 1984;3(5):411-30. doi: 10.1037//0278-6133.3.5.411.
Consumer responses to three cost containment strategies for providing health care are examined. The data come from a random sample of 365 Los Angeles adults interviewed by telephone. It is found that aggregate sample responses are negative toward two strategies (labelled preferred provider and health planning) and positive toward the third (labelled self care). Furthermore, it is found that demographic characteristics that predict approval of one strategy predict disapproval of other strategies. These findings, coupled with models assessing how and why segments of consumers respond as they do, suggest that no one strategy is likely to appeal to all consumers. Implications for the implementation of health care delivery systems inspired by containment strategies are discussed in the context of recent events in California.
研究了消费者对三种医疗保健成本控制策略的反应。数据来自对365名洛杉矶成年人进行电话采访的随机样本。研究发现，总体样本对两种策略（标记为首选供应商和健康规划）的反应为负面，而对第三种策略（标记为自我护理）的反应为正面。此外，研究发现，预测对一种策略认可的人口特征也预测对其他策略的不认可。这些发现，再加上评估消费者各群体如何以及为何做出相应反应的模型，表明没有一种策略可能吸引所有消费者。在加利福尼亚最近发生的事件背景下，讨论了受成本控制策略启发的医疗保健提供系统实施的影响。
