Hibbard J H, Slovic P, Jewett J J
University of Oregon, Department of Planning, Public Policy, and Management, Eugene 97403-1209, USA.
Milbank Q. 1997;75(3):395-414. doi: 10.1111/1468-0009.00061.
Despite the wider dissemination of health plan report cards, little is known about whether consumers will use this information in making plan and provider choices. Studies of human judgment and decision making are reviewed, as are their implications for devising strategies to inform consumers. The limitations of human information processing suggest that many consumers will not use performance information in making choices. Strategies are needed to support consumers who prefer to rely on intermediaries as well as those who wish to apply the information for their own use. Many current strategies are based on assumptions not supported by existing decision-making research. Although there is much to learn about assisting consumers in making informed choices, a great deal is known from decision-making research. Our approaches and our research agenda must be based on this existing foundation of knowledge.
尽管健康计划成绩单得到了更广泛的传播，但对于消费者是否会在选择计划和医疗服务提供者时使用这些信息，人们却知之甚少。本文回顾了有关人类判断和决策的研究，以及这些研究对设计向消费者提供信息的策略的启示。人类信息处理的局限性表明，许多消费者在做出选择时不会使用绩效信息。需要制定策略来支持那些倾向于依赖中介机构的消费者，以及那些希望自行运用这些信息的消费者。当前的许多策略都基于现有决策研究未支持的假设。虽然在帮助消费者做出明智选择方面还有很多需要学习的地方，但决策研究已经有了很多已知的知识。我们的方法和研究议程必须基于这一现有的知识基础。
