title: Chronic illness and plan satisfaction under managed care.
abstract: This DataWatch uses data from the 1993 Employee Health Care Value Survey (EHCVS) to compare the experiences of respondents with and without chronic illnesses under managed care. After controlling for potential confounders, we found that chronic illness was associated with increased odds of dissatisfaction in both independent practice association plans and prepaid group practices, but not under fee-for-service coverage. Chronic illness appeared to exacerbate difficulties and to attenuate the benefits experienced by healthy persons under managed care. We conclude that persons with chronic illnesses may be at particular risk under managed care; their experiences may warrant particular attention when health plan performance is being monitored.
authors.affiliation: Department of Psychiatry and Public Health, Yale University, USA.
authors.forename: B G
authors.initials: BG
authors.lastname: Druss
authors.forename: M
authors.initials: M
authors.lastname: Schlesinger
authors.forename: T
authors.initials: T
authors.lastname: Thomas
authors.forename: H
authors.initials: H
authors.lastname: Allen
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000523:psychology*; D015986:Confounding Factors, Epidemiologic; D018588:Fee-for-Service Plans / Q000592:standards; D005260:Female; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000592:standards*; D008875:Middle Aged; D020380:Needs Assessment; D009511:New England; D016017:Odds Ratio; D017060:Patient Satisfaction; D012307:Risk Factors