Knickman J R, Hughes R G, Taylor H, Binns K, Lyons M P
Robert Wood Johnson Foundation, Princeton, NJ, USA.
Health Aff (Millwood). 1996 Summer;15(2):21-32. doi: 10.1377/hlthaff.15.2.21.
A survey in fifteen communities and nationwide of consumers' opinions about changes in their local health care system reveals that Americans are surprisingly positive about recent changes in their personal access to and quality of care and consistently negative about changes in the cost of care. Although many consumers think that changes in the system are making things worse, they are optimistic about the trend toward managed care. Subgroup analysis shows that uninsured persons and persons with health problems reported high rates of concern about many of the health system issues we explored, while Medicaid recipients, Hispanics, and African Americans reported positive changes in their access to and quality of care.
一项针对15个社区以及全国范围消费者对当地医疗保健系统变化看法的调查显示，美国人对近期个人医疗服务可及性和质量的变化出奇地乐观，但对医疗成本的变化却一直持负面态度。尽管许多消费者认为系统变化使情况变得更糟，但他们对管理式医疗的趋势持乐观态度。亚组分析表明，未参保者和有健康问题的人对我们所探讨的许多医疗系统问题表示高度关注，而医疗补助领取者、西班牙裔和非裔美国人则表示他们在医疗服务可及性和质量方面有积极变化。
