Davis K, Collins K S, Schoen C, Morris C
Commonwealth Fund, Rice University, USA.
Health Aff (Millwood). 1995 Summer;14(2):99-112. doi: 10.1377/hlthaff.14.2.99.
Enrollees' views of their health plans and physicians are important measures of the performance of the health care system. The Commonwealth Fund's 1994 survey of 3,000 adults in fee-for-service and managed care organizations documents enrollees' experiences with choosing a plan and satisfaction with that plan. Fee-for-service enrollees were more satisfied with their plan's access to and quality of care; managed care enrollees were more satisfied with their plan's cost, paperwork, and coverage of preventive care. The survey also found a high rate of involuntary plan changing, limited choice of physicians, and low levels of satisfaction among low-income managed care enrollees.
参保者对其健康保险计划和医生的看法是衡量医疗保健系统绩效的重要指标。联邦基金1994年对3000名参加按服务收费和管理式医疗组织的成年人进行的调查记录了参保者选择保险计划的经历以及对该计划的满意度。按服务收费的参保者对其保险计划的医疗服务可及性和质量更为满意；管理式医疗的参保者对其保险计划的成本、文书工作和预防性保健覆盖范围更为满意。该调查还发现非自愿更换保险计划的比例很高、医生选择有限以及低收入管理式医疗参保者的满意度较低。
