One justification for Congressional support of Health Maintenance Organizations has been the supposition that they promote preventive medicine. This study found HMO members no more likely overall to receive appropriate cancer checkups than individuals with traditional (reimbursement) insurance coverage, although in the under-40 age category, HMO members were more likely to receive the checkups. The study identified reminders, rather than type of health plan coverage, as the key predictor of obtaining checkups.
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References
1.
American Cancer Society (1984), “Cancer-Related Checkups,” guideline sheet, 84–20M-No. 5005.04.
2.
BattistaRenaldo N., WilliamsJ. Ivan, and MacFarlaneLeslie A. (1986), “Determinants of Primary Medical Practice in Adult Cancer Prevention,”Medical Care24 (March), 216–224.
3.
BoundsMary C., and SoRelleRuth (1987), “Critics Say Health-Care Plans Flawed by Emphasis on Profit,”Houston Chronicle (Feb. 3), 1, 8.
4.
CarterAnn P., (1987), “A Clinically Effective Breast Cancer Screening Program Can Be Cost-Effective Too,”Preventive Medicine16, 19–34.
5.
Gallup Organization, Inc. (1984), “1983 Survey of Public Awareness and Use of Cancer Detection Tests,” unpublished paper 60-83261.
6.
GelbBetsy D. and GillyMary C. (1979), “The Effect of Promotional Techniques on Purchase of Preventive Dental Care,”Journal of Consumer Research (December), 305–308.
7.
GreenwaldHoward P. (1987), “HMO Membership, Copayment, and Initiation of Care for Cancer: A Study of Working Adults,”American Journal of Public Health (April), 461–466.
8.
Hewitt Associates (1986), “HMOs: An Employer's Guide to Complying with the Federal HMO Act,” unpublished research paper.
9.
LuftH. S. (1987), Health Maintenance Organizations: Dimensions of Performance, New Brunswick, N.J.: Transaction Books.
10.
NorusisMarija J. (1986), Advanced Statistics: SPSS/PC+.Chicago: SPSS Inc.
11.
RoemerMilton I. (1985), National Strategies for Health Care Organization, Ann Arbor, MI: Health Administration Press.
12.
TraskaM. R. (1986), “What's Happening to ‘Maintenance’ in HMOs?”Hospitals (June 5), 68–70.
13.
WagnerEdward H., and ThompsonRobert S. (1987), “Cancer Prevention and HMOs,” unpublished paper, Center for Health Studies, Group Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA.
14.
WardGraham W. (1978), “The Role of Economics, Utilization, and Uncertainty,” in Marketing and Preventive Health Care: Interdisciplinary and Interorganizational Perspectives, eds. CooperPhilip D., KehoeWilliam J., and MurphyPatrick E., Chicago: American Marketing Association, 72–78.
15.
WareJohn E. Jr., (1986), “Comparison of Health Outcomes at a Health Maintenance Organisation with Those of Fee-for-Service Care,”The Lancet (May 3), 1017–1022.
16.
WilnerSusan (1986), “Health Promotion and Disease Prevention in HMOs,”Health Affairs (Spring), 122–134.