Who values information from a health plan Internet-based decision tool and why: a demographic and utilization analysis.
Health Serv Res
; 47(1 Pt 1): 151-73, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22091487
ABSTRACT
OBJECTIVES:
The aim of this study was to investigate factors associated with utilization of health plan Internet-based decision tools. DATA SOURCES AND STUDYSETTING:
Enrollment, claims, plan design, and web transaction data during 2008 provided by a national health insurer for 253,398 subscribers from 919 employers. STUDYDESIGN:
Multivariate models of the effects of demographic, health, employer, and plan benefit design characteristics on the use of the tool and its individual function categories. DATA EXTRACTIONMETHODS:
Subscribers, who were either an individual member or a family, were included if at least one family member had 12 months of coverage in 2008. Members older than 65 and those with multiple insurance carriers were excluded. PRINCIPALFINDINGS:
Higher education, higher income, younger age, female gender, higher co-morbidity risk, prevalence of chronic conditions, Caucasian race, and English as the primary language were positively associated with using the tool. Plan benefit characteristics such as free preventive coverage, higher deductible, moderate coinsurance rate, family coverage, and enrollment in health savings accounts were also associated with higher likelihood of using the tool.CONCLUSIONS:
Insurers provide consumers information on cost efficiency, quality, and wellness through Internet-based decision tools, but more effort is needed to reach certain demographics.
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Equidade_desigualdade
/
Estado_mercado_regulacao
Bases de dados:
MEDLINE
Assunto principal:
Internet
/
Tomada de Decisões
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Preferência do Paciente
/
Seguro Saúde
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Serv Res
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos