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At least 343 records · Page 19Linked to original sources
PubMed1999

Health insurance choices in two-worker households: determinants of double coverage.

Understanding how households make health insurance choices is of critical importance in evaluating issues of equity and efficiency in health care markets. We consider a largely neglected aspect of such decision making: the decision of families with two working spouses to obtain double coverage. Using data from the 1987 National Medical Expenditure Survey, we find that household decisions to obtain double coverage are especially sensitive to a couple's out-of-pocket premium costs. Our analysis also reveals that households with double coverage have more generous insurance, as reflected in their higher coverage rates for specific types of benefits. We also demonstrate that the presence of duplicate health benefits in double-covered households is not random, possibly reflecting a systematic attempt by working spouses to obtain more extensive coverage.

Adult↗
PubMed1999

Adoption, adoption seeking, and relinquishment for adoption in the United States.

OBJECTIVES: This report presents national data on adoption and adoption-related behaviors among ever-married women 18-44 years of age in the United States, according to selected characteristics of the women. Trends are shown in the prevalence of adoption and relinquishment of children for adoption. For 1995, the report shows demand for adoption and women's preferences for characteristics of the child. METHODS: Data are based on nationally representative samples of women 15-44 years of age from the 1973, 1982, 1988, and 1995 National Surveys of Family Growth (NSFG). RESULTS: The percent of ever-married women 18-44 years of age who have ever adopted a child declined from 2.1 percent in 1973 to 1.3 percent in 1995. Of the 9.9 million women who had ever considered adoption, 16 percent had taken steps toward adoption, and 31 percent of these had actually adopted a child. Older women, nulliparous women, women with fecundity impairment, and women who have used infertility services were more likely to have considered adoption, to have taken concrete steps toward adoption, and to have actually adopted a child. In response to the questions about preferred characteristics of an adopted child, women expressed strong preferences with respect to age, sex, race, and disability level of the child, but were willing to accept children with the less-desired traits. Between 1989 and 1995, about 1 percent of babies born to never-married women were relinquished for adoption, down from 9 percent among such babies born before 1979. CONCLUSIONS: Federally supported adoption data collection sources corroborate the decline in adoption shown by the NSFG over the past 25 years. Demand for adoption in the United States varies, depending on whether demand is conceptualized liberally as "ever having considered adoption" or more narrowly, as "currently taking concrete steps toward adoption." The narrow definition was fulfilled by 232,000 ever-married women in 1995.

Adolescent↗
PubMed1976

Oral health care in Australia.

The study data on oral health status for this age group was consistent with previous recent studies. The sociological data added considerably to the knowledge of the charactistics of this group in the area sampled in New South Wales, Australia. The system of delivery of oral health services mainly through private practice appears to be providing comprehensive treatment to a segment of the student population fairly well defined by sociological variables reported in the analysis. However, only limited services appear to be reaching sizeable remainder.

Adolescent↗
PubMed2000

Using scenario analysis to determine managed care strategy.

In today's volatile healthcare environment, traditional planning tools are inadequate to guide financial managers of provider organizations in developing managed care strategies. These tools often disregard the uncertainty surrounding market forces such as employee benefit structure, the future of Medicare managed care, and the impact of consumer behavior. Scenario analysis overcomes this limitation by acknowledging the uncertain healthcare environment and articulating a set of plausible alternative futures, thus supplying financial executives with the perspective to craft strategies that can improve the market position of their organizations. By being alert for trigger points that might signal the rise of a specific scenario, financial managers can increase their preparedness for changes in market forces.

Decision Making, Organizational↗
PubMed2000

Does user satisfaction relate to adoption behavior?: an exploratory analysis using CPRS implementation.

User satisfaction is commonly assessed in evaluations of information systems as a proxy for user adoption. However few studies actually report directly assessing the relationship between the two constructs. In this study the relationship between four user satisfaction measures and five adoption behaviors were explored in the context of the implementation of the Veteran's Health Administration Computerized Patient Record System 1.0. Findings suggest that the relationship is modest and depends on the measurement system used. Specifically, direct reports of affect and judgements of specific task efficacy related to behavior more often than usability and a general user satisfaction instrument.

Attitude to Computers↗
PubMed2001

Consumer reactions and economic consequences of the BSE crisis.

Meat demand has been affected by safety controversies that have struck the European meat chain during the last decade. The major issue was the occurrence of the BSE crisis, with its major impact in mainland Europe from 1996 on. Much research has addressed concern over declining consumer confidence in the meat food category and what can be done to counter the deteriorating image for fresh meat. This contribution focuses on consumer reactions and consequent economic implications of the BSE crisis in Belgium. With respect to consumer reactions, the reported data and analyses result from consumer studies that are on going since 1996 until today. The studies combine econometric demand analyses based on time series data with descriptive analyses of consumer survey data. The findings show shifts of consumer attitude and perception in line with mass media coverage. In the case of beef, a negative press to advertising ratio of five is found, with the total gain attributed to advertising being five times lower in absolute value than the total loss resulting from negative publicity. In terms of economic impact, direct and indirect costs are discussed. Most of those cost items have not yet been quantified comprehensively. Based on all findings from an economic perspective, it is clear that taking away the grounds for negative press, as well as searching for better and more effective ways of communication emerge as major recommendations for the meat industry, and particularly for the beef sector.

Animals↗