Center for Studying Health System Change

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James R. Knickman


Strong Opinions Held about the Tradeoff Between Choice of Providers and Cost of Care

Fall 1997
Data Bulletin No. 04

Satisfaction and Quality:

Fall 1997
Data Bulletin No. 03

Access to Specialists:

Fall 1997
Data Bulletin No. 02

Access to Care:

Fall 1997
Data Bulletin No. 01

Association Leaders Speak Out on Health System Change

January/February 1997
Health Affairs

The Community Snapshots Project

March 1996
Compilation of Snapshots

Snapshots of Change in Fifteen Communities:

Tracking Consumerís 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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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.