Enrollment Choices in Different Types of HMOs A Multivariate Analysis

作者: S E Berki , Roy Penchansky , Robert S. Fortus , Marine L. Ashcraft

DOI: 10.1097/00005650-197808000-00005

关键词:

摘要: Enrollment decisions of a sample an employed population choosing among open-panel and closed-panel HMOs Blue Cross/Blue Shield are analyzed. This report, unlike previous ones, overcomes some the difficulties bivariate analysis by use multivariate logistic probability model, logit. The results show that there four consistent predictors enrollment choice: source care as measure access; family life stage chronic conditions per member indicators health risk; capita income economic vulnerability; concern. Having private physician is best single predictor, its absence predicting higher in closed, presence HMO. Higher risk families, younger with more children, likely to join plan than closed or retain BC/BS; incomes larger numbers appear have same effects. levels concern, on other hand, predict greater plan. any HMO predicted 50 cent accuracy for 60 sample. Choice between open plans excess 80 cent, 90 over 10 potential enrollees. applicability this approach feasibility planning clearly indicated.

参考文章(14)
D. S. Mundel, Meir G. Kohn, Charles F. Manski, An Empirical Investigation of Factors Which Influence College-Going Behavior NBER Chapters. pp. 391- 419 ,(1974)
D. Mcfadden, Conditional logit analysis of qualitative choice behavior Frontiers in Econometrics. pp. 105- 142 ,(1972)
Charles A. Metzner, Rashid L. Bashshur, Vulnerability to risk and awareness of dual choice of health insurance plan. Health Services Research. ,vol. 5, pp. 106- 113 ,(1970)
Marie Ashcraft, Roy Penchansky, S E Berki, Robert S. Fortus, John Gray, Expectations and experience of HMO enrollees after one year: an analysis of satisfaction, utilization, and costs. Medical Care. ,vol. 16, pp. 14- 32 ,(1978) , 10.1097/00005650-197801000-00002
Charles A. Metzner, Rashid L. Bashshur, Gray W. Shannon, Differential public acceptance of group medical practice. Medical Care. ,vol. 10, pp. 279- 287 ,(1972) , 10.1097/00005650-197207000-00001
B. Kobashigawa, S. E. Berki, Alternative regression approaches to the analysis of medical care survey data. Medical Care. ,vol. 15, pp. 396- 408 ,(1977) , 10.1097/00005650-197705000-00006
S E Berki, Marie Ashcraft, Roy Penchansky, Robert S. Fortus, Enrollment choice in a mutli-HMO setting:the roles of health risk, financial vulnerability, and access to care. Medical Care. ,vol. 15, pp. 95- 114 ,(1977) , 10.1097/00005650-197702000-00001
S. E. Berki, Marie Ashcraft, Roy Penchansky, Robert Fortus, Health concern, HMO enrollment, and preventive care use Journal of Community Health. ,vol. 3, pp. 3- 31 ,(1977) , 10.1007/BF01319140
Robert S. Pindyck, Daniel L. Rubinfeld, Econometric Models and Economic Forecasts ,(1990)
Robert R. Glauber, Donald Eugene. Farrar, Multicollinearity in Regression Analysis; the Problem Revisited ,(2011)