Are all health plans created equal? The physician's view.
BACKGROUND
The health care market is demanding increasing amounts of information regarding quality of care in health plans. Physicians are a potentially important but infrequently used source of such information.


OBJECTIVE
To assess physicians' views on health plan practices that promote or impede delivery of high-quality care in health plans and to compare ratings between plans.


METHODS
Minneapolis-St Paul, Minn.


METHODS
One hundred physicians in each of 3 health plans. Each physician rated 1 health plan.


METHODS
Likert-type items that assessed health plan practices that promote or impede delivery of high-quality care.


RESULTS
A total of 249 physicians (84%) completed the survey. Fewer than 20% of all physicians gave plans the highest rating (excellent or strongly agree) for health plan practices that promote delivery of high-quality care (such as providing continuing medical education for physicians, identifying patients needing preventive care, and providing physicians feedback about practice patterns). Barriers to delivering high-quality care related to sufficiency of time to spend with patients, covered benefits and copayment structure, and utilization management practices. Ratings differed across health plans. For example, the percentage of physicians indicating that they would recommend the plan they rated to their own family was 64% for plan 1, 92% for plan 2, and 24% for plan 3 (P<.001 for all comparisons).


CONCLUSIONS
Physician surveys can highlight strengths and weaknesses in health plans, and their ratings differ across plans. Physician ratings of health plan practices that promote or impede delivery of high-quality care may be useful to consumers and purchasers of health care as a tool to evaluate health plans and promote quality improvement.
Borowsky
S J
SJ
Department of Medicine, Minneapolis Veterans Affairs Medical Center, MN 55417, USA.
Davis
M K
MK
Goertz
C
C
Lurie
N
N
D001291:Attitude of Health Personnel; D003625:Data Collection; D003695:Delivery of Health Care; D005260:Female; D019538:Health Care Surveys; D006302:Health Services Research; D006699:Home Care Services; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008389:Marketing of Health Services; D010820:Physicians; D011787:Quality of Health Care; D014481:United States