Morton L W
Cornell University, USA.
Med Care Res Rev. 1998 Jun;55(2):211-38. doi: 10.1177/107755879805500204.
Rural Aid to Families with Dependent Children (AFDC) Medicaid recipients were surveyed to identify factors that influenced their enrollment choice between two managed care health plans and the traditional Medicaid free-for-service plan. Bivariate and logistic regression analyses provided evidence that the Medicaid institutional information structure directly influenced recipient decision to enroll in managed care plans. Current smokers were more likely to choose a managed care plan in this sample. There was no evidence that health status, health service use patterns, marital status, or ethnicity was related to the enrollment decision. Of those who chose the traditional Medicaid fee-for-service plan, 41 percent reported that they did not understand what managed care was.
对农村有受抚养子女家庭补助计划（AFDC）的医疗补助受助人进行了调查，以确定影响他们在两种管理式医疗健康计划与传统医疗补助免费服务计划之间选择参保的因素。双变量和逻辑回归分析表明，医疗补助制度信息结构直接影响受助人选择参保管理式医疗计划的决定。在这个样本中，当前吸烟者更有可能选择管理式医疗计划。没有证据表明健康状况、医疗服务使用模式、婚姻状况或种族与参保决定有关。在选择传统医疗补助按服务收费计划的人中，41%的人表示他们不了解管理式医疗是什么。
