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首页> 美国卫生研究院文献>Bulletins of the Public Health >Who chooses prepaid medical care: Survey results from two marketings of three new prepayment plans.
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Who chooses prepaid medical care: Survey results from two marketings of three new prepayment plans.

机译：谁选择预付费医疗服务：来自三个新预付费计划的两次营销的调查结果。

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摘要

Employees joining or not joining three newly marketed prepayment plans were surveyed during the first marketing period and during another open enrollment period 18 months later. In the 1973 survey the respondents were 149 subscribers (family contracts covering 568 persons) to the new plans and 224 nonjoiners (a total of 802 persons in their families)--all employees of Rochester's largest industry. In the 1975 survey the respondents were employees of several companies. They included 326 joiner families (1,101 persons) and 145 nonjoiner families (483 persons). There were no significant differences in previous out-of-pocket health expenditures between joiners and nonjoiners. Their self-reported health ratings did not differ; disability over the last 2 weeks was about the same. Physician utilization rates and inpatient rates were similar, except for the spouses of subscribers to one plan. However, the joiners were younger, had lived in Rochester for a shorter period, and had made less use of physicians in private practice. The three prepayment plans appealed to different population groups. The Network joiners were young, low-income families, mostly from the city. The Group Health joiners were young families with few children who especially valued availability, accessibility, and comprehensiveness. Health Watch joiners were older couples who preferred to use the traditional avenues to health care.
机译：在第一个营销期间和18个月后的另一个公开招募期间，对参加或不参加三个新上市的预付款计划的员工进行了调查。在1973年的调查中，受访者是新计划的149个订户（家庭合同，涵盖568人）和224个非参与者（家庭中共有802人），都是罗切斯特最大行业的雇员。在1975年的调查中，受访者是几家公司的雇员。他们包括326个木匠家庭（1,101人）和145个非木匠家庭（483人）。参加者和非参加者之间以前的自付费用卫生支出没有显着差异。他们自我报告的健康等级没有差异。最近2周的残障率大致相同。医师利用率和住院率相似，除了一个计划的订户的配偶。但是，这些人比较年轻，在罗切斯特的居住时间较短，在私人执业中较少使用医生。这三个预付款计划吸引了不同的人口群体。该网络的参与者是年轻的低收入家庭，他们大多来自城市。团体健康服务的加入者是有几个孩子的年轻家庭，他们特别重视可用性，可及性和全面性。参加“健康观察”活动的是年长的夫妇，他们更喜欢使用传统的方式进行保健。

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