Is the informed-choice policy approach appropriate for medicare beneficiaries?

Health Affairs

Volumn 20, Issue 3, 2001, Pages 199-203

  Hibbard, Judith H ^a   Slovic, Paul ^a,b   Peters, Ellen ^b   Finucane, Melissa L ^b   Tusler, Martin ^a  

^a UNIVERSITY OF OREGON   (United States)

^b DECISION RESEARCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; COMPARATIVE STUDY; CONSUMER; DECISION MAKING; FEMALE; HEALTH CARE POLICY; HUMAN; INFORMATION SERVICE; MALE; MEDICARE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; UNITED STATES;

ADOLESCENT; ADULT; AGED; CHOICE BEHAVIOR; CONSUMER PARTICIPATION; FEMALE; HEALTH POLICY; HUMANS; INFORMATION SERVICES; JUDGMENT; MALE; MEDICARE; MIDDLE AGED; UNITED STATES;

EID: 0035348711     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.20.3.199     Document Type: Article

References (3)

1. D.C. Park, "Aging and the Controlled and Automatic Processing of Medical Information and Medical Intentions," in Processing of Medical Information in Aging Patients: Cognitive and Human Factors Perspectives, ed. D.C. Park, R.W. Morrell, and K. Shifren (Mahwah, N.J.: Erlbaum, 1999).
2. Comprehension skill index is dichotomized on median score. Based on the distribution of the MCBS survey population, 63 percent of the population scores 8 or higher on our screening index, and 37 percent would score below the median screening index score. For the 63 percent who had a high score on the screening index, we would expect 70 percent to have a high error score. Thus, .63 × .70 = .44, or 44 percent of the total population would be true positives. We would expect about 37 percent of all beneficiaries to score low on the screening index. Of these, 33 percent would be false negatives. Therefore, we would expect 12 percent of the population to be false negatives (.37 × .33 = 12 percent) (true positives + false negatives = 44 percent +12 percent = 56 percent).
3. T.A. Salthouse, Theoretical Perspectives on Cognitive Aging (Hillsdale, N.J.: Erlbaum, 1991).