Factors Influencing Disenrollment From an HMO

Sorensen, Andrew A.; Wersinger, Richard P.

doi:10.1097/00005650-198107000-00007

Medical Care

1981

DOI: 10.1097/00005650-198107000-00007

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Factors Influencing Disenrollment From an HMO

Andrew A. Sorensen¹,

Richard P. Wersinger²

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1983

2002

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Cited by 24 publications

(1 citation statement)

References 10 publications

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“…In addition to its intrinsic importance for individual healthcare consumers and thirdparty payers, patient satisfaction is also an important determinant of health-related outcomes, such as health services utilization (Zastowny, Roghmann, and Cafferata 1989;Roghmann, Hengst, and Zastowny 1979), decision to switch to another health plan (Murray et al 2000;Allen and Rogers 1998;Hennelly and Boxerman 1983;Sorensen and Wersinger 1981), compliance with medical regimen (Smith et al 1987), and decision to initiate malpractice suits (Penchansky and Macnee 1994). Litt and Cuskey (1984) demonstrated that adolescents who reported greater satisfaction after an initial doctor visit were significantly more likely to keep their follow-up appointment compared with less satisfied patients.…”

mentioning

confidence: 99%

Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care?

LaVeist¹,

Nuru-Jeter²

2002

Journal of Health and Social Behavior

658

420

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mentioning

confidence: 99%

Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care?

LaVeist¹,

Nuru-Jeter²

2002

Journal of Health and Social Behavior

658

420

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Preserving the Physician-Patient Relationship in the Era of Managed Care

Emanuel

Dubler²

1995

JAMA

282

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Even without comprehensive health care reform legislation, the US health care system is undergoing significant changes. Probably the most important change is the expansion of managed care with significant price competition. One of the major concerns about this change is the effect of managed care on the physician-patient relationship. To provide a normative standard for evaluating the effect of changes, we need an ideal conception of the physician-patient relationship. This ideal can be summarized by six C's: choice, competence, communication, compassion, continuity, and (no) conflict of interest. For the 37 million uninsured Americans there is little chance of realizing the ideal physician-patient relationship, since they lack the choice of practice setting and physician, receive care in a rushed atmosphere that undermines communication and compassion, and have no continuity of care. While many insured Americans may believe they have an ideal physician-patient relationship, the relationship is threatened by lack of a regular assessment of competence, by financial incentives that undermine good communication, and by the persistence of conflict of interest. The shift to managed care may improve the choice of practice settings, especially in sections of the country that currently lack managed care; increase choice of preventive services; make quality assessments more routine; and improve communication by making greater use of primary care physicians and nonphysician providers. However, the expansion of managed care and the imposition of significant cost control have the potential to undermine all aspects of the ideal physician-patient relationship. Choice could be restricted by employers and by managed care selection of physicians; poor quality indicators could undermine assessments of competence; conductivity requirements could eliminate time necessary for communication; changing from one to another managed care plan to secure the lowest costs could produce significant disruption in continuity of care; and use of salary schemes that reward physicians for not using medical services could increase conflict of interest.

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Socioeconomic status and the evaluation of health care choices

Formisano

Hurst

1988

Journal of Business Research

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Factors Influencing Disenrollment From an HMO

Cited by 24 publications

References 10 publications

Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care?

Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care?

Preserving the Physician-Patient Relationship in the Era of Managed Care

Socioeconomic status and the evaluation of health care choices

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