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. 2001 Jul;36(3):447–476.

Creating more effective health plan quality reports for consumers: lessons from a synthesis of qualitative testing.

L D Harris-Kojetin 1, L A McCormack 1, E F Jaël 1, J A Sangl 1, S A Garfinkel 1
PMCID: PMC1089237  PMID: 11482584

Abstract

OBJECTIVE: Social marketing techniques such as consumer testing have only recently been applied to develop effective consumer health insurance information. This article discusses lessons learned from consumer testing to create consumer plan choice materials. DATA SOURCES/STUDY SETTING: Data were collected from 268 publicly and privately insured consumers in three studies between 1994 and 1999. STUDY DESIGN: Iterative testing and revisions were conducted to design seven booklets to help Medicaid, Medicare, and employed consumers choose a health plan. DATA COLLECTION METHODS: Standardized protocols were used in 11 focus groups and 182 interviews to examine the content, comprehension, navigation, and utility of the booklets. PRINCIPAL FINDINGS: A method is suggested to help consumers narrow their plan choices by breaking down the process into smaller decisions using a set of guided worksheets. CONCLUSION: Implementing these lessons is challenging and not often done well. This article gives examples of evidence-based approaches to address cognitive barriers that designers of consumer health insurance information can adapt to their needs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Booske B. C., Sainfort F., Hundt A. S. Eliciting consumer preferences for health plans. Health Serv Res. 1999 Oct;34(4):839–854. [PMC free article] [PubMed] [Google Scholar]
  2. Chakraborty G., Ettenson R., Gaeth G. How consumers choose health insurance. J Health Care Mark. 1994 Spring;14(1):21–33. [PubMed] [Google Scholar]
  3. Chernew M., Scanlon D. P. Health plan report cards and insurance choice. Inquiry. 1998 Spring;35(1):9–22. [PubMed] [Google Scholar]
  4. Edgman-Levitan S., Cleary P. D. What information do consumers want and need? Health Aff (Millwood) 1996 Winter;15(4):42–56. doi: 10.1377/hlthaff.15.4.42. [DOI] [PubMed] [Google Scholar]
  5. Eppig F. J., Poisal J. A. Medicare beneficiary information needs: 1994. Health Care Financ Rev. 1996 Fall;18(1):247–252. [PMC free article] [PubMed] [Google Scholar]
  6. Gibbs D. A., Sangl J. A., Burrus B. Consumer perspectives on information needs for health plan choice. Health Care Financ Rev. 1996 Fall;18(1):55–73. [PMC free article] [PubMed] [Google Scholar]
  7. Hibbard J. H., Jewett J. J., Engelmann S., Tusler M. Can Medicare beneficiaries make informed choices? Health Aff (Millwood) 1998 Nov-Dec;17(6):181–193. doi: 10.1377/hlthaff.17.6.181. [DOI] [PubMed] [Google Scholar]
  8. Hibbard J. H., Slovic P., Jewett J. J. Informing consumer decisions in health care: implications from decision-making research. Milbank Q. 1997;75(3):395–414. doi: 10.1111/1468-0009.00061. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hibbard J. H., Sofaer S., Jewett J. J. Condition-specific performance information: assessing salience, comprehension, and approaches for communicating quality. Health Care Financ Rev. 1996 Fall;18(1):95–109. [PMC free article] [PubMed] [Google Scholar]
  10. Isaacs S. L. Consumer's information needs: results of a national survey. Health Aff (Millwood) 1996 Winter;15(4):31–41. doi: 10.1377/hlthaff.15.4.31. [DOI] [PubMed] [Google Scholar]
  11. Jewett J. J., Hibbard J. H. Comprehension of quality care indicators: differences among privately insured, publicly insured, and uninsured. Health Care Financ Rev. 1996 Fall;18(1):75–94. [PMC free article] [PubMed] [Google Scholar]
  12. Knutson D. J., Fowles J. B., Finch M., McGee J., Dahms N., Kind E. A., Adlis S. Employer-specific versus community-wide report cards: is there a difference? Health Care Financ Rev. 1996 Fall;18(1):111–125. [PMC free article] [PubMed] [Google Scholar]
  13. Knutson D. J., Kind E. A., Fowles J. B., Adlis S. Impact of report cards on employees: a natural experiment. Health Care Financ Rev. 1998 Fall;20(1):5–27. [PMC free article] [PubMed] [Google Scholar]
  14. Lubalin J. S., Harris-Kojetin L. D. What do consumers want and need to know in making health care choices? Med Care Res Rev. 1999;56 (Suppl 1):67–112. doi: 10.1177/1077558799056001S04. [DOI] [PubMed] [Google Scholar]
  15. McCormack L. A., Garfinkel S. A., Schnaier J. A., Lee A. J., Sangl J. A. Consumer information development and use. Health Care Financ Rev. 1996 Fall;18(1):15–30. [PMC free article] [PubMed] [Google Scholar]
  16. Robinson S., Brodie M. Understanding the quality challenge for health consumers: the Kaiser/AHCPR Survey. Jt Comm J Qual Improv. 1997 May;23(5):239–244. doi: 10.1016/s1070-3241(16)30313-3. [DOI] [PubMed] [Google Scholar]
  17. Scanlon D. P., Chernew M., Lave J. R. Consumer health plan choice: current knowledge and future directions. Annu Rev Public Health. 1997;18:507–528. doi: 10.1146/annurev.publhealth.18.1.507. [DOI] [PubMed] [Google Scholar]
  18. Tumlinson A., Bottigheimer H., Mahoney P., Stone E. M., Hendricks A. Choosing a health plan: what information will consumers use? Health Aff (Millwood) 1997 May-Jun;16(3):229–238. doi: 10.1377/hlthaff.16.3.229. [DOI] [PubMed] [Google Scholar]
  19. Veroff D. R., Gallagher P. M., Wilson V., Uyeda M., Merselis J., Guadagnoli E., Edgman-Levitan S., Zaslavsky A., Kleimann S., Cleary P. D. Effective reports for health care quality data: lessons from a CAHPS demonstration in Washington State. Int J Qual Health Care. 1998 Dec;10(6):555–560. doi: 10.1093/intqhc/10.6.555. [DOI] [PubMed] [Google Scholar]

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