Patient participation in research in the managed care environment: key perceptions of members in an HMO.
This study's objective was to elicit the views of research among enrollees in an HMO. A questionnaire was mailed to 207 adult enrollees, 55% had been exposed to research and 45% had not. Ninety-four percent of respondents supported research within the HMO, and 87% thought using information from medical records for research was acceptable. Sixty-three percent thought participation in research increased patient understanding of health care. Significantly more prior research participants thought that participation in research improves care. More patients would participate if written information were provided (67%), if feedback of results was provided (72%), and if their clinician invited them (67%). Only a modest percentage (20%) of patients would participate in a randomized trial.
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, MA 02215, USA.
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Purdy
J A
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Finkelstein
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Fletcher
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Christiansen
T S
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Inui
D000328:Adult; D000368:Aged; D001900:Boston; D002986:Clinical Trials as Topic; D003219:Confidentiality / Q000523:psychology*; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology*; D011639:Public Opinion; D016032:Randomized Controlled Trials as Topic; D011795:Surveys and Questionnaires