  
	
  
Snapshots of Change in Fifteen Communities:
Tracking Consumer’s Reactions to the Changing Health Care System: Early Indicators
Summer 1996 
Health Affairs, vol.15, no.2 (Summer 1996): 21-32 
 James R. Knickman 
  survey in 15 communities and nationwide of consumers opinions about
    changes in their local health care system reveals that Americans are surprisingly positive
    about recent changes in their personal access to and quality of care and consistently
    negative about changes in the cost of care. Although many consumers think that changes in
    the system are making things worse, they are optimistic about the trend toward managed
    care. Subgroup analysis shows that uninsured persons and persons with health problems
    reported high rates of concern about many of the health system issues we explored, while
    Medicaid recipients, Hispanics, and African Americans reported positive changes in their
    access to and quality of care.  
 Free access to this article is available at the Health 
  Affairs Web site. 
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