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Consumer-driven health care: promise and performance
James C Robinson1, Paul B Ginsburg
1Kaiser Permanente Professor of Health Economics in the School of Public Health at the University of California, Berkeley, USA. james.robinson@berkeley.edu
Health Affairs (Project Hope)
|January 29, 2009
Summary
Consumer-driven health care evolves, blending consumerism and managed care. The trend favors increased consumer choice, reducing control by physicians, insurers, employers, and regulators.
Area of Science:
- Health Economics
- Health Services Research
- Consumer Health Informatics
Background:
- The rise of consumer-driven health care (CDHC) aimed to empower patients.
- Early CDHC models focused on increasing patient engagement and cost-consciousness.
Purpose of the Study:
- To analyze the evolution of consumer-driven health care.
- To examine its original vision, implementation, and transformations.
- To assess the shifting balance of power in health care decision-making.
Main Methods:
- Qualitative analysis of market trends.
- Review of health care product designs.
- Examination of policy and regulatory shifts.
Main Results:
- CDHC models increasingly integrate consumerism with managed care principles.
- There is a discernible trend towards enhanced consumer choice in health care decisions.
- The influence of physicians, insurers, employers, and regulators on consumer choices is diminishing.
Conclusions:
- Consumer-driven health care is transforming healthcare delivery.
- The future landscape emphasizes greater patient autonomy.
- This shift necessitates adaptation from all healthcare stakeholders.
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