Corpus ID: 18852663

Comprehension and choice of a consumer-directed health plan: an experimental study.

@article{Greene2008ComprehensionAC,
  title={Comprehension and choice of a consumer-directed health plan: an experimental study.},
  author={Jessica Greene and E. Peters and C. K. Mertz and J. Hibbard},
  journal={The American journal of managed care},
  year={2008},
  volume={14 6},
  pages={
          369-76
        }
}
OBJECTIVES To examine the extent to which numeracy predicts consumer-directed health plan (CDHP) comprehension and health plan choice. Also, to test whether comprehension can be improved using different presentation approaches. STUDY DESIGN We conducted an experimental laboratory study in which 303 adults viewed information about a hypothetical CDHP and a hypothetical preferred provider organization (PPO) presented in several different ways. Participants were randomized to view plan… Expand
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References

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TLDR
The findings indicate that numeracy skill is the strongest predictor of comprehension, followed by health literacy, and that choice is not just about literacy or comprehension, it also has to do with activation. Expand
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TLDR
Presenting quality data in a more evaluable format increases the weight it carries in consumer decisions, indicating that every change made in the presentation of comparative data has the potential to influence decisions. Expand
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TLDR
There are data presentation approaches that help consumers who have lower skills use information more accurately and using these approaches in reporting would likely increase the use of the comparative information and increase the efficacy of reporting efforts. Expand
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Consumer-centric healthcare has been extolled as the centerpiece of a new model for managing both quality and price. However, information asymmetry in consumer-directed health plans (CDHPs) is aExpand
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TLDR
Seven reporting templates in different formats, including bar graphs like those displayed on the CMS Nursing Home Compare Web site www.medicare.gov, are developed and tested with 90 individuals age 45-75, using structured protocols. Expand
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TLDR
Results of three studies support the idea that “less is more” when presenting consumers with comparative performance information to make hospital choices, and have important implications for the sponsors of comparative quality reports designed to inform consumer decision making in health care. Expand
Low literacy impairs comprehension of prescription drug warning labels
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Warning labels should be developed with consumer participation, especially with lower literate populations, to ensure comprehension of short, concise messages created with familiar words and recognizable icons. Expand
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Three fundamental but correctible weaknesses are found: Most plans do not make available comparative measures of quality and longitudinal cost-efficiency in enough detail to help consumers discern higher-value health care options; financial incentives for consumers are weak and insensitive to differences in value among the selections that consumers make. Expand
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TLDR
The results suggest that even highly educated participants have difficulty with relatively simple numeracy questions, thus replicating in part earlier studies that usual strategies for communicating numerical risk may be flawed. Expand
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