Assessing Medicare beneficiaries' readiness to make informed health plan choices
The Transtheoretical Model (TTM, the "stage model") can guide development of programs to increase Medicare beneficiaries' readiness to make informed health plan choices. In this study, TTM staging algorithms were developed to assess readiness to engage in three types of informed choic...
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Veröffentlicht in: | Health care financing review 2001, Vol.23 (1), p.87-104 |
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description | The Transtheoretical Model (TTM, the "stage model") can guide development of programs to increase Medicare beneficiaries' readiness to make informed health plan choices. In this study, TTM staging algorithms were developed to assess readiness to engage in three types of informed choice: (1) learning about the Medicare program; (2) learning about Medicare health maintenance organizations (HMOs); and (3) reviewing different plan options. Stage of change based on all three algorithms is related to knowledge about the Medicare program and information-seeking. Findings provide evidence for the construct validity of the stage measures and for the applicability of the TTM to informed choice among beneficiaries. |
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In this study, TTM staging algorithms were developed to assess readiness to engage in three types of informed choice: (1) learning about the Medicare program; (2) learning about Medicare health maintenance organizations (HMOs); and (3) reviewing different plan options. Stage of change based on all three algorithms is related to knowledge about the Medicare program and information-seeking. Findings provide evidence for the construct validity of the stage measures and for the applicability of the TTM to informed choice among beneficiaries.</description><identifier>ISSN: 0195-8631</identifier><identifier>EISSN: 1554-9887</identifier><identifier>PMID: 12500365</identifier><language>eng</language><publisher>United States: Superintendent of Documents</publisher><subject>Aged ; Algorithms ; Attitude to Health ; Behavior modification ; Beneficiaries ; Centers for Medicare and Medicaid Services (U.S.) ; Comprehension ; Consciousness ; Consumer Advocacy - psychology ; Decision Making ; Education ; Health administration ; Health behavior ; Health insurance ; Health Maintenance Organizations ; Health Services Research ; HMOs ; Humans ; Information seeking behavior ; Information Services - utilization ; Learning ; Marketing ; Medicare ; Medicare Part B - organization & administration ; Medicare Part C - organization & administration ; Models, Statistical ; Participation ; Perceptions ; Qualitative research ; Services ; Statistical analysis ; Studies ; Theory ; United States</subject><ispartof>Health care financing review, 2001, Vol.23 (1), p.87-104</ispartof><rights>COPYRIGHT 2001 Superintendent of Documents</rights><rights>Copyright Superintendent of Documents Fall 2001</rights><rights>2001</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194730/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194730/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4022,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12500365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levesque, D A</creatorcontrib><creatorcontrib>Prochaska, J O</creatorcontrib><creatorcontrib>Cummins, C O</creatorcontrib><creatorcontrib>Terrell, S</creatorcontrib><creatorcontrib>Miranda, D</creatorcontrib><title>Assessing Medicare beneficiaries' readiness to make informed health plan choices</title><title>Health care financing review</title><addtitle>Health Care Financ Rev</addtitle><description>The Transtheoretical Model (TTM, the "stage model") can guide development of programs to increase Medicare beneficiaries' readiness to make informed health plan choices. In this study, TTM staging algorithms were developed to assess readiness to engage in three types of informed choice: (1) learning about the Medicare program; (2) learning about Medicare health maintenance organizations (HMOs); and (3) reviewing different plan options. Stage of change based on all three algorithms is related to knowledge about the Medicare program and information-seeking. Findings provide evidence for the construct validity of the stage measures and for the applicability of the TTM to informed choice among beneficiaries.</description><subject>Aged</subject><subject>Algorithms</subject><subject>Attitude to Health</subject><subject>Behavior modification</subject><subject>Beneficiaries</subject><subject>Centers for Medicare and Medicaid Services (U.S.)</subject><subject>Comprehension</subject><subject>Consciousness</subject><subject>Consumer Advocacy - psychology</subject><subject>Decision Making</subject><subject>Education</subject><subject>Health administration</subject><subject>Health behavior</subject><subject>Health insurance</subject><subject>Health Maintenance Organizations</subject><subject>Health Services Research</subject><subject>HMOs</subject><subject>Humans</subject><subject>Information seeking behavior</subject><subject>Information Services - utilization</subject><subject>Learning</subject><subject>Marketing</subject><subject>Medicare</subject><subject>Medicare Part B - organization & administration</subject><subject>Medicare Part C - organization & administration</subject><subject>Models, Statistical</subject><subject>Participation</subject><subject>Perceptions</subject><subject>Qualitative research</subject><subject>Services</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Theory</subject><subject>United States</subject><issn>0195-8631</issn><issn>1554-9887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkU1LHTEUhgdpqVfrX5DQRbtxIJl8bwoXsSpY2kW7DmcyZ-bGzkxuk7mC_95c1KJFsggkD-_J8-agWjEpRW2N0e-qFWVW1kZxdlgd5XxLKWsotx-qQ9ZISrmSq-rnOmfMOcwD-Y5d8JCQtDhjH3yAFDB_IQmhC3OByBLJBH-QhLmPacKObBDGZUO2I8zEb2LwmD9W73sYM5487cfV728Xv86v6psfl9fn65t64Eosdc-psVw0nQbWIQreKM37XveeKtt2rdR9owRwACW0NEICQGsEGs617IrGcfX1MXe7a8tTPM5LgtFtU5gg3bsIwb2-mcPGDfHOCWaF5vuAz08BKf7dYV7cFLLHsbhg3GWnGedGNU0BP_0H3sZdmoucY1ZZbSmXBTp7hAYY0e0LKkP9UJoss-O-z3K8NkxLq4QteP0GXlaHU_Bv8acvbf9pPn8kfwDGL5rv</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Levesque, D A</creator><creator>Prochaska, J O</creator><creator>Cummins, C O</creator><creator>Terrell, S</creator><creator>Miranda, D</creator><general>Superintendent of Documents</general><general>CENTERS for MEDICARE & MEDICAID SERVICES</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2001</creationdate><title>Assessing Medicare beneficiaries' readiness to make informed health plan choices</title><author>Levesque, D A ; Prochaska, J O ; Cummins, C O ; Terrell, S ; Miranda, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g364t-f3089342d7a1dee432673ff7fc069bdb57f264a3aa6475845aaab84e83375d203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Algorithms</topic><topic>Attitude to Health</topic><topic>Behavior modification</topic><topic>Beneficiaries</topic><topic>Centers for Medicare and Medicaid Services (U.S.)</topic><topic>Comprehension</topic><topic>Consciousness</topic><topic>Consumer Advocacy - psychology</topic><topic>Decision Making</topic><topic>Education</topic><topic>Health administration</topic><topic>Health behavior</topic><topic>Health insurance</topic><topic>Health Maintenance Organizations</topic><topic>Health Services Research</topic><topic>HMOs</topic><topic>Humans</topic><topic>Information seeking behavior</topic><topic>Information Services - utilization</topic><topic>Learning</topic><topic>Marketing</topic><topic>Medicare</topic><topic>Medicare Part B - organization & administration</topic><topic>Medicare Part C - organization & administration</topic><topic>Models, Statistical</topic><topic>Participation</topic><topic>Perceptions</topic><topic>Qualitative research</topic><topic>Services</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Theory</topic><topic>United States</topic><toplevel>online_resources</toplevel><creatorcontrib>Levesque, D A</creatorcontrib><creatorcontrib>Prochaska, J O</creatorcontrib><creatorcontrib>Cummins, C O</creatorcontrib><creatorcontrib>Terrell, S</creatorcontrib><creatorcontrib>Miranda, D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health care financing review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levesque, D A</au><au>Prochaska, J O</au><au>Cummins, C O</au><au>Terrell, S</au><au>Miranda, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing Medicare beneficiaries' readiness to make informed health plan choices</atitle><jtitle>Health care financing review</jtitle><addtitle>Health Care Financ Rev</addtitle><date>2001</date><risdate>2001</risdate><volume>23</volume><issue>1</issue><spage>87</spage><epage>104</epage><pages>87-104</pages><issn>0195-8631</issn><eissn>1554-9887</eissn><abstract>The Transtheoretical Model (TTM, the "stage model") can guide development of programs to increase Medicare beneficiaries' readiness to make informed health plan choices. In this study, TTM staging algorithms were developed to assess readiness to engage in three types of informed choice: (1) learning about the Medicare program; (2) learning about Medicare health maintenance organizations (HMOs); and (3) reviewing different plan options. Stage of change based on all three algorithms is related to knowledge about the Medicare program and information-seeking. Findings provide evidence for the construct validity of the stage measures and for the applicability of the TTM to informed choice among beneficiaries.</abstract><cop>United States</cop><pub>Superintendent of Documents</pub><pmid>12500365</pmid><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Algorithms Attitude to Health Behavior modification Beneficiaries Centers for Medicare and Medicaid Services (U.S.) Comprehension Consciousness Consumer Advocacy - psychology Decision Making Education Health administration Health behavior Health insurance Health Maintenance Organizations Health Services Research HMOs Humans Information seeking behavior Information Services - utilization Learning Marketing Medicare Medicare Part B - organization & administration Medicare Part C - organization & administration Models, Statistical Participation Perceptions Qualitative research Services Statistical analysis Studies Theory United States |
title | Assessing Medicare beneficiaries' readiness to make informed health plan choices |
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