Luft H S
Milbank Mem Fund Q Health Soc. 1978 Spring;56(2):140-68.
Greater use of preventive services by enrollees of HMOs than of other health plans is often assumed to reflect differences in philosophy about "health maintenance." But organizational forms are less important than extent of insurance coverage in influencing use of preventive services. Policy options for improved health status will have to challenge ideologies of prevention and financing.
人们通常认为,健康维护组织(HMO)的参保者比其他健康计划的参保者更多地使用预防服务,这反映了在“健康维护”理念上的差异。但在影响预防服务的使用方面,组织形式不如保险覆盖范围重要。改善健康状况的政策选择将不得不挑战预防和融资的意识形态。