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Intentions to join HMOs: perceived relative performance versus satisfaction/dissatisfaction.

A L Dolinsky1, R K Caputo

  • 1Farleigh Dickinson University.

Journal of Hospital Marketing
|December 10, 1989
PubMed
Summary

Consumers are more likely to join Health Maintenance Organizations (HMOs) when the performance model, emphasizing cost and quality, is strong. Younger individuals show a greater interest in joining HMOs.

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Area of Science:

  • Health Services Research
  • Consumer Behavior in Healthcare

Background:

  • Understanding consumer choice in healthcare is crucial for policy and market development.
  • Health Maintenance Organizations (HMOs) represent a significant model of healthcare delivery.

Purpose of the Study:

  • To investigate the key determinants influencing consumers' intentions to join HMOs.
  • To compare the explanatory power of a performance model versus a satisfaction model in predicting HMO enrollment.

Main Methods:

  • Utilized a national sample to analyze consumer intentions.
  • Employed and compared two distinct models: a performance model and a satisfaction model.
  • Examined the impact of specific healthcare attributes (cost, quality, physician availability) and demographic factors (age, residence).

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Main Results:

  • The performance model demonstrated significantly greater explanatory power for HMO enrollment intentions compared to the satisfaction model.
  • Healthcare attributes of cost and quality of care were significant predictors in both models, with greater importance in the performance model.
  • Physician availability was also a significant factor in the performance model.
  • Demographic segmentation revealed age and urban/rural residence as significant factors, with age being more influential.
  • Younger respondents exhibited a stronger intention to join HMOs, mirroring the overall sample findings.

Conclusions:

  • Consumer intentions to join HMOs are better explained by perceived performance attributes than by satisfaction levels.
  • Cost, quality, and physician availability are critical performance indicators influencing HMO choice.
  • Targeting younger demographics may be an effective strategy for increasing HMO enrollment.