Switching Swiss enrollees from indemnity health insurance to managed care: the effect on health status and stisfaction with care

American Journal of Public Health
T V PernegerA Rougemont

Abstract

In 1992, most members of a Swiss indemnity health insurance plan were automatically transferred into a newly created managed care organization. This study examined whether this semivoluntary change affected enrollees' health status and satisfaction with care. Three groups of enrollees were compared: 332 plan members who accepted the switch (managed care joiners); 186 plan members who opted to maintain indemnity coverage (non-joiners); and 296 persons continuosly enrolled in another indemnity plan (indemnity plan members). Health status, health related behaviors, and satisfaction with care received in the previous year were surveyed at baseline and 1 year later. Health status remained unchanged in all three groups. Smoking prevalence decreased among managed care joiners but remained constant in the other groups. Satisfaction with insurance coverage increased between baseline and follow-up in managed care joiners, but decreased in nonjoiners and indemnity plan members. The latter groups had higher satisfaction with health care, particularly with continuity of care. A semivoluntary switch from indemnity health insurance to managed care reduced satisfaction with health care but increased satisfaction with insurance coverage. There ...Continue Reading

References

Aug 31, 1989·The New England Journal of Medicine·G W Grumet
Jan 1, 1988·Health Affairs·A R Davies, J E Ware
Nov 25, 1983·JAMA : the Journal of the American Medical Association·M Jackson-Beeck, J H Kleinman
Aug 18, 1994·The New England Journal of Medicine·A S Relman
May 18, 1994·JAMA : the Journal of the American Medical Association·R H Miller, H S Luft
Jul 7, 1994·The New England Journal of Medicine·J K Iglehart
Aug 18, 1993·JAMA : the Journal of the American Medical Association·H R RubinJ E Ware
Dec 12, 1982·Evaluation and Program Planning·J E WareA R Davies

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Citations

Jul 30, 2011·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·S SchnitzerA Kuhlmey
Sep 1, 1997·Social Science & Medicine·J F Etter, T V Perneger
Nov 22, 1997·Journal of Clinical Epidemiology·J F Etter, T V Perneger
Oct 20, 1999·Journal of Clinical Epidemiology·T V PernegerJ F Etter
Jun 1, 1997·Journal of Epidemiology and Community Health·T V PernegerA Rougemont
May 14, 1998·Journal of Epidemiology and Community Health·J F EtterJ D Laporte
Oct 9, 1998·Journal of Epidemiology and Community Health·J F Etter, T V Perneger
Sep 18, 2010·International Journal of Health Care Quality Assurance·Daniel Simonet
Jan 5, 2011·Scandinavian Journal of Primary Health Care·Marcial Velasco GarridoReinhard Busse

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