*A National Survey*

Americans as Health Care Consumers:

The Role of Quality Information

Questionnaire & Toplines

October 1996

Kaiser Family Foundation

&

Agency for Health Care Policy and Research

Conducted By

Princeton Survey Research Associates

***Methodology***

*Americans As Health Care Consumers: The Role of Quality Information* is
a nationally representative telephone survey of 2,006 adults designed by
the Kaiser Family Foundation, the Agency for Health Care Policy and
Research (AHCPR), and Princeton Survey Research Associates (PSRA). It
was conducted by PSRA between July 26-September 5, 1996. The margin of
error is plus or minus three percentage points.

In these results, numbers are percentages. Some totals are broken down
into subtotals, which are indented. Asterisks (\*) indicate less than 1
percent for the answer. ANET@ means net total.

**FINAL TOPLINE**

**INTRODUCTION:** Hello, my name is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
and I\'m calling for Princeton Survey Research. We=re conducting an
important national opinion survey. **(IF NEEDED SAY:** the survey is
mostly about health care issues that have been in the news\...**)**

I\'d like to ask a few questions of the YOUNGEST MALE age 18 or older,
who is now at home. **(IF NO MALE AT HOME NOW:** Then, may I speak with
the OLDEST FEMALE age 18 or older who is now at home**.)**

D1. **RECORD RESPONDENT=S GENDER:**

47 Male

[53]{.underline} Female

100

1\. First, I have just a few background questions\... Are you the
male/female head of your household, or not?

42 Yes, male head of household

45 Yes, female head of household

13 No

[\*]{.underline} Don=t know

100

2\. Are you married, LIVING AS married, divorced, separated, widowed, or
have you never been married?

53 Married

3 Living as married

12 Divorced

3 Separated

7 Widowed

21 Never married/Single

[1]{.underline} Don=t know

100

3\. Before I get to the main survey topic, I have just a few questions
about cars\... When was the LAST time you bought a new car or other
motor vehicle, or made an arrangement to lease one? Was it\...

20 Within the past 12 months

37 One to five years ago

11 Six to 10 years ago

10 More than 10 years ago, OR

21 Have you never bought or leased a new vehicle?

[1]{.underline} Don=t know

100

4\. Thinking back to when you were deciding which vehicle to buy or
lease, please tell me whether or not you turned to each of the following
sources for information to help you decide. First, what about\...Did you
turn to this source for information, or not? And did you turn to\...

> ***BASED ON RESPONDENTS WHO BOUGHT A MOTOR VEHICLE IN THE PAST 10
> YEARS***; ***n=1425.***

Yes,

Used this

[Source]{.underline}

> a\. Consumer Reports or other consumer

magazines that test and rate products 35

> b\. Friends or family members 46
>
> c\. Expert opinions like those of your mechanic 25
>
> d\. Brochures or other materials available from

car dealers or manufacturers 35

> e\. Automotive magazines like

*Car and Driver* or *Motor Trend* 18

f\. None of these sources 24

5\. In general, how often do you go to an information source like
Consumer Reports for ratings of products or services before making a
major purchase\...

6 Always

14 Most of the time

25 Sometimes

24 Hardly ever, OR\...

30 Never?

[1]{.underline} Don\'t know

100

6\. On another topic\... In general, would you say your health is\...?

29 Excellent

32 Very good

27 Good

9 Fair, OR

3 Poor?

[\*]{.underline} Don\'t know

100

7\. Overall, how do you feel about the health care services that you and
your family have used in the last few years? Would you say you are\...

25 Very satisfied

55 Somewhat satisfied

12 Somewhat dissatisfied, OR

5 Very dissatisfied?

[3]{.underline} Don\'t know

100

8\. We=d like your opinions about differences in the QUALITY of health
care in your local area, based on what you=ve heard, read, or
experienced yourself. (First,) do you think there are big differences,
small differences, or no differences in the quality of care among\...?

Big Small No Don=t

[Differences]{.underline} [Differences]{.underline}
[Differences]{.underline} [Know]{.underline}

a\. Local hospitals 38 32 17 13 =100

b\. Health plans and health

insurance companies that

offer coverage in your area 47 25 13 15 =100

c\. Family doctors, general

practitioners, and other

primary care doctors in

your area 37 34 19 10 =100

d\. Doctors in your area who

are specialists, such as

orthopedists, allergists and

those who treat heart

problems 28 32 18 22 =100

9 . Please tell me whether you, yourself, are now covered by each of the
following different kinds of health insurance. First\...

a\. Are you now covered by any private health insurance plan through
your employer or

someone else=s employer?

b\. Are you now covered by any private health insurance plan that you
bought yourself?

c\. Are you now covered by Medicare, the government program that pays
health care

bills for people over 65 and the disabled?

d\. Are you now covered by Medicaid, Medi-Cal or Public Assistance?

10\. Do you have no health coverage at all, or are you covered by some
plan that I haven=t mentioned?

90 Total insured

65 Employer-based pla[^1]

18 Total Medicare

9 Medicare plus supplemental

3 Medicare/no supplemental

2 Medicare and Medicaid

3 Medicaid only

10 Uninsured

[\*]{.underline} Don=t know

100

11\. Is your MAIN health coverage a fee-for-service plan that allows you
to go to almost any doctor or hospital, OR is it an H-M-O, a P-P-O, or
another type of plan that directs you to a list of doctors and hospitals
who are on the plan?

38 Fee-for-service plan

47 HMO, PPO or similar plan

10 Uninsured

[5]{.underline} Don=t know

100

12\. You mentioned having health coverage through an employer\... Is
that through your own job, through your husband=s/wife=s job, through a
parent=s job, or through someone else=s job? Which do you consider your
MAIN employer-provided health insurance plan?

> ***BASED ON RESPONDENTS COVERED BY AN EMPLOYER-BASED PLAN; n=1427.***

67 Own job

25 Spouse=s job

6 Parent=s job

[2]{.underline} Someone else=s job

100

13\. As far as you know, did the employer offer you a choice of
different health insurance plans or only one plan?

14\. How many different health plans did the employer offer\...

> ***BASED ON RESPONDENTS COVERED BY AN EMPLOYER-BASED PLAN; n=1427.***

50 Total with a choice of health plans

6 More than five health plans

27 Three to five plans

15 Two plans

2 Number of plans undesignated

45 Employer offers only one plan

[5]{.underline} Don\'t know

100

15\. Regardless of whose employer provides the coverage, who was MOST
responsible for choosing the health plan \-- was it you, your
husband/wife, you and your husband/wife together, your parents, or did
someone else choose the plan?

***BASED ON RESPONDENTS WHOSE EMPLOYER OFFERS A CHOICE OF HEALTH PLANS;
n=734.***

87 Total respondent chose

56 Self

31 Self and spouse

\* Self and parents/someone else

13 Total someone else chose

8 Spouse or partner

3 Parents

2 Someone else

\* Other

[\*]{.underline} Don=t know

16\. At any time in the past five years, did you voluntarily decide to
switch from one health insurance plan to another, or not?

19 Yes

80 No

[1]{.underline} Don=t know

100

17\. What was the MAIN reason you switched to another plan? Was there
any other reason that was almost as important?

> ***BASED ON RESPONDENTS WHO DECIDED TO SWITCH HEALTH PLANS; n=391.***

47 Cost-**NET**

8 Co-payments

5 Other

34 General cost

1 Medical care

23 Coverage/benefits/claims-**NET**

3 Handling of claim/refusal to reimburse

5 Specific coverage issues

15 General coverage issues

5 Choice

5 Location/facilities

14 Change in job/employment status

2 Consolidation of overall family coverage

5 Involuntary termination

2 Poor service

12 Other reason

1 No specific reason

1 Don=t know

***Total exceeds 100 percent due to multiple responses***.

21\. Information comparing different health insurance plans, doctors and
hospitals is available in different places. For example, it might be
given out at work, come to your home by mail, or appear in a newspaper
or magazine that you read. IN THE PAST 12 MONTHS, do you remember seeing
ANY information comparing different health insurance plans, doctors or
hospitals?

52 Yes

45 No

[3]{.underline} Don\'t know/Don\'t remember

100

22\. Did you see ANY information comparing the QUALITY of health care
among different\...in the past 12 months, or not?

a\. Health insurance plans

b\. Doctors

c\. Hospitals

39 Total saw any information

34 About health plans

11 About doctors

21 About hospitals

[61]{.underline} Didn=t see any information

100

23\. Where did you see information comparing the QUALITY of health care
among\...

> a\. Was it given out at work?
>
> b\. Did it come through the mail?
>
> c\. Did you see it in a newspaper or magazine?
>
> d\. Did you see it somewhere else?

12 Given out at work

25 Came through the mail

28 Saw it in a newspaper/magazine

13 Saw it somewhere else

8 TV

1 Friends/family/word of mouth

1 Billboards

\* Brochures

\* Internet

1 Hospital/medical facility/ doctor=s office

2 Other

13 Source undesignated

48 Didn=t see any information

24\. Did you personally use the information you saw comparing quality
among\...in making any decisions about\..., or not?

25\. Do you think the information you saw comparing quality
among\...would be USEFUL to someone making decisions about\..., or not?

> ***BASED ON RESPONDENTS WHO SAW INFORMATION ABOUT THE QUALITY OF
> HEALTH PLANS; n=701.***

a\. Health insurance plans

34 Used to make decisions

66 Did not use to make decisions

[\*]{.underline} Don=t know

100

87 Think it would be useful

10 Don=t think it would be useful

[3]{.underline} Don=t know

100

> ***BASED ON RESPONDENTS WHO SAW INFORMATION ABOUT THE QUALITY OF
> DOCTORS; n=224.***

b\. Doctors

35 Used to make decisions

65 Did not use to make decisions

[3]{.underline} Don=t know

100

86 Think it would be useful

11 Don=t think it would be useful

[3]{.underline} Don=t know

100

> ***BASED ON RESPONDENTS WHO SAW INFORMATION ABOUT THE QUALITY OF
> HOSPITALS; n=437.***

c\. Hospitals

30 Used to make decisions

70 Did not use to make decisions

[\*]{.underline} Don=t know

100

83 Think it would be useful

15 Don=t think it would be useful

[2]{.underline} Don=t know

100

26\. We=d like to know what is important to you and your family in a
health insurance plan. For you and your family, how important is\...very
important, somewhat important, not too important, or not at all
important?

Very Somewhat Not Too Not At All Don=t

[Important]{.underline} [Important]{.underline} [Important]{.underline}
[Important]{.underline} [Know]{.underline}

a\. Keeping your costs of

coverage low 78 17 3 1 1 =100

b\. Having a wide range of

benefits or a particular

benefit you need 81 15 2 1 1 =100

c\. Having a plan that

provides a high quality

of health care 91 6 1 1 1 =100

d\. Having a plan that offers

a wide choice of doctors 74 18 4 3 1 =100

27\. Which ONE of the concerns you rated as very important\...is MOST
important to you and your family?

18 Keeping your costs of coverage low

14 Having a wide range of benefits or a particular benefit you need

42 Having a plan that provides a high quality of health care

17 Having a plan that offers a wide choice of doctors

3 Other **(Answer volunteered)**

2 No item rated as very important

[4]{.underline} Don=t know

100

28\. Next, as I read you some different pairs of options you might have
in choosing a health plan, please tell me if you would generally prefer
the first one or the second one. (First,) would you prefer\...

a\. 70 A higher cost plan that offers you a wide range of benefits, such
as

prescription drugs or mental health services

OR\...

26 A lower cost plan that offers a more limited range of benefits

[4]{.underline} No preference/Don=t know

100

b\. 53 A higher cost plan that lets you choose any doctor you want

OR\...

43 A lower cost plan that gives you a list of doctors to choose from

[4]{.underline} No preference/Don=t know

100

c\. A higher cost plan that lets you go directly to any specialist, such
as an

46 orthopedist, allergist or a doctor who treats heart problems

OR\...

A lower cost plan that makes you go first to a family doctor for a
referral to a

51 specialist

[3]{.underline} No preference/Don=t know

100

29\. If a health plan offers more choice of doctors, do you think it
means they have better quality health care, or not?

36 Yes

59 No

[5]{.underline} Don=t know

100

30\. If a health plan offers more choice of doctors, do you think it
means that health care is more available to their members, or not?

61 Yes

33 No

[6]{.underline} Don=t know

100

31\. I=m going to read you four possible reasons why you might want your
health plan to give you a choice of doctors. After I read all four
reasons, tell me which ONE, if any, matters most to you. Do you want a
choice of doctors\...

20 So you can continue seeing your regular doctor

24 So you can change doctors if you become dissatisfied with the one
you=re seeing

So you can see whatever doctor you think is best qualified to treat a
particular

43 medical problem

So it=s easier to see someone else if your doctor is not available for
an

9 appointment

2 Other/None of these **(Answer volunteered)**

[2]{.underline} Don=t know

100

32\. Suppose your current health insurance plan was discontinued and you
had to choose a new one for you and your family\... Please tell me how
important it would be for you to know each of the following to help you
choose a health plan. (First/next) how important would it be for you to
know\...very important, somewhat important, not too important, or not at
all important?

Very Somewhat Not Too Not At All Don=t

[Important]{.underline} [Important]{.underline} [Important]{.underline}
[Important]{.underline} [Know]{.underline}

a\. How well the health

plan does at keeping

its members as healthy

as possible 79 16 3 1 1 =100

b\. How well the health

plan does at catching

health problems at an

early stage 87 10 1 1 1 =100

c\. How well the health

plan takes care of

members who are sick

or have health problems 90 8 1 \* 1 =100

d\. How easy the health plan

makes it for members to

get the care they need 88 11 1 \* \* =100

33\. Which ONE of the concerns you rated as very important would be MOST
important for you to know?

15 How well it does at keeping its members as healthy as possible

29 How well it does at catching health problems at an early stage

21 How well it takes care of members who are sick or have health
problems

28 How easy the plan makes it for members to get the care they need

3 Other **(Answer volunteered)**

2 No item is rated as very important

[2]{.underline} Don=t know

100

34\. Now I=m going to read you some different kinds of information you
could get about health insurance plans to help you choose a new one, if
you had to. As I read each, tell me how much you think it tells you
about the QUALITY of a plan \-- a lot, only a little, or nothing.
(First,) what about information on\... Does this tell you a lot about
quality, only a little, or nothing?

***ITEMS A-F BASED ON FORM 1; n=1001.***

Tells Tells Tells Tells

a Lot Something a Little Nothing

About About About About Don=t

[Quality]{.underline} [Quality]{.underline} [Quality]{.underline}
[Quality]{.underline} [Know]{.underline}

a\. The percentage of plan

members who get regular

screening for things like

high blood pressure and

breast cancer 62 2 28 7 1 =100

b\. The percentage of patients

with medical problems that

are often preventable such

as low birth-weight babies

or getting infections while

in the hospital 52 2 32 11 3 =100

c\. How patients who are

surveyed rate the overall

quality of health care they

get through their health plan 57 3 33 5 2 =100

d\. How quickly patients can

get in to be seen by a doctor

when they need an

appointment 59 2 29 9 1 =100

e\. Turnover rates of doctors in

the plan, that is, the percentage

of doctors who leave the plan

each year 51 3 36 9 1 =100

f\. Whether the plan has passed a

review and been accredited by

an independent organization that

evaluates plans 50 3 36 9 2 =100

***ITEMS G-L BASED ON FORM 2; n=1005.***

34.***Continued\....***

Tells Tells Tells Tells

a Lot Something a Little Nothing

About About About About

[Quality]{.underline} [Quality]{.underline} [Quality]{.underline}
[Quality]{.underline} [DK]{.underline}

g\. What health improvement

programs the plan offers or

pays for, such as those to

help people lose weight

or stop smoking 37 4 42 15 2 =100

h\. What patients who are

surveyed say about how

well the plan=s doctors

listen and explain things

to them 58 2 32 6 2 =100

i\. The percentage of plan

members who decide to

leave the plan each year

because they are

dissatisfied 61 2 28 7 2 =100

j\. The percentage of doctors

in the plan who have had

a complaint filed against

them by patients or lost

malpractice lawsuits 64 2 24 7 3 =100

k\. The range of health

benefits available beyond

basic medical coverage,

such as check-ups and other

preventive care or mental

health services 66 2 25 6 1 =100

l\. How easy it is for plan

members to see specialists,

such as orthopedists,

allergists and doctors who

treat heart problems 68 2 24 5 1 =100

35\. If you HAD TO CHOOSE a new health plan, please tell me how much
influence each of following is likely to have on your choice. First, do
you think recommendations or ratings of plans by\...would have a lot of
influence on your choice of health plans, some influence, only a little
influence, or no influence? Next, what about recommendations or ratings
of plans by\...

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

a\. Patients who are

surveyed about their

satisfaction with the

quality of care 45 30 18 6 1 =100

b\. Your regular doctor

or other individual

doctors 59 26 11 3 1 =100

c\. Groups of doctors

like state medical

societies 27 34 25 12 2 =100

d\. Local newspapers or

magazines 10 31 36 22 1 =100

e\. Consumer groups 25 35 24 15 1 =100

f\. Friends or family

members 57 25 12 5 1 =100

g\. National newspapers

or magazines 11 32 35 21 1 =100

h\. Your employer, or

someone at work

who deals with health

benefits 33 33 20 11 3 =100

i\. Government agencies 12 28 33 25 2 =100

***QUESTIONS 36-39 ARE BASED ON FORM 1 RESPONDENTS; n=1001.***

36\. Some people think surveys of doctors rating the quality of
different health plans are a good source of information because doctors
are trustworthy and know a lot about health care. Others don=t trust the
opinions of doctors they don=t know because doctors= opinions are too
often based on what=s best for doctors, not what=s best for patients.
Which comes closer to your view?

41 Doctors= surveys are a good source

54 Don=t trust opinions

[5]{.underline} Don\'t know

100

37\. Some people think employers are a good source of information about
the quality of different health plans because employers examine plans
closely when deciding which ones to offer. Others don=t trust what
employers say because employers= main concern is saving the company
money on health benefits. Which comes closer to your view?

36 Employers are a good source

58 Don=t trust employers

[6]{.underline} Don\'t know

100

38\. Some people think the opinions of friends and family are a good
source of information about health plans because friends and family care
about the same things they do when it comes to health care. Others think
friends and family don=t have enough knowledge and experience to provide
good information about health plans. Which comes closer to your view?

69 Rely on family and friends

27 Don\'t have enough knowledge and experience

[4]{.underline} Don\'t know

100

39\. Suppose you HAD TO CHOOSE a new doctor. Please tell me how much
influence each of following is likely to have on your choice. First, do
you think recommendations or ratings of doctors by\...would have a lot
of influence on your choice of doctors, some influence, only a little
influence, or no influence? Next, what about recommendations or ratings
of doctors by\...

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

a\. Patients who are

surveyed about their

satisfaction with the

quality of care 37 38 19 5 1 =100

b\. Your regular doctor

or other individual

doctors 57 30 10 3 \* =100

c\. Groups of doctors

like state medical

societies 19 34 28 18 1 =100

d\. Local newspapers or

magazines 6 28 35 30 1 =100

e\. Consumer groups 13 34 31 21 1 =100

f\. Friends or family

members 51 32 12 5 \* =100

g\. National newspapers

or magazines 7 28 33 31 1 =100

h\. Your employer, or

someone at work who

deals with health

benefits 17 38 26 17 2 =100

i\. Government agencies 7 28 30 34 1 =100

40\. Suppose you HAD TO CHOOSE a new doctor. Please tell me how much
influence the following specific information is likely to have on your
choice. (First,) do you think\... would have a lot of influence on your
choice of doctors, some influence, only a little influence, or NO
influence?

***ITEMS A-F BASED ON FORM 1 RESPONDENTS; n=1001.***

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

a\. Whether a doctor

attended a well-known

medical school or

training program 30 36 19 14 1 =100

b\. Whether a doctor has

admission privileges to

send patients to a

particular local hospital 38 36 17 8 1 =100

c\. How many years a doctor

has been in practice 35 42 15 8 \* =100

d\. Whether a doctor has an

office that is close to you 35 35 19 11 \* =100

e\. A doctor=s age, race, or

ethnic background 10 18 21 51 \* =100

f\. Whether a doctor has been

rated Athe best@ by a local

newspaper or magazine 15 37 27 21 \* =100

> ***ITEMS G-L ARE BASED ON FORM 2 RESPONDENTS; n=1005.***

g\. Whether a doctor is board

certified, that is, has had

additional training and

testing in his or her area

of specialty 71 20 6 3 \* =100

h\. Which health insurance

plans a doctor will take 49 31 12 7 1 =100

i\. How well a doctor

communicates with

patients and shows a

caring attitude 84 12 3 1 \* =100

40\. ***Continued\...***

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

j\. A doctor=s fees 31 37 18 12 2 =100

k\. Whether a doctor is

a man or a woman 8 12 17 62 1 =100

l\. Whether a doctor has

been highly rated by

a government or

independent agency 25 36 23 15 1 =100

***QUESTIONS 41-44 ARE BASED ON FORM 2 RESPONDENTS; n=1005.***

41\. Suppose you HAD TO CHOOSE a hospital for you or your family. Please
tell me how much influence each of following is likely to have on your
choice. First, do you think recommendations or ratings of hospitals
by\...would have a lot of influence on your choice of hospitals, some
influence, only a little influence, or no influence? Next, what about
recommendations or ratings of hospitals by\...

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

a\. Patients who are

surveyed about their

satisfaction with the

quality of care 43 35 14 7 1 =100

b\. Your regular doctor

or other individual

doctors 63 27 6 3 1 =100

c\. Groups of doctors like

state medical societies 25 37 22 15 1 =100

d\. Local newspapers or

magazines 11 33 28 27 1 =100

e\. Consumer groups 19 33 26 21 1 =100

f\. Friends or family

members 60 25 9 6 \* =100

g\. National newspapers

or magazines 9 32 30 28 1 =100

40\. ***Continued\...***

Only a

A Lot of Some Little No Don=t

[Influence]{.underline} [Influence]{.underline} [Influence]{.underline}
[Influence]{.underline} [Know]{.underline}

h\. Your employer, or

someone at work who deals

with health benefits 23 40 22 13 2 =100

i\. Government agencies 9 32 29 29 1 =100

42\. Suppose you HAD TO CHOOSE between two health plans. The first one
is strongly recommended to you by friends and family, but the second one
is rated much higher in quality by independent experts who evaluate
plans. If the two plans cost the same, which would you be more likely to
choose?

52 Plan recommended by friends

43 Plan highly rated by experts

[5]{.underline} Don\'t know

100

43\. Suppose you HAD TO CHOOSE between two surgeons at a hospital. The
first surgeon has treated your family for a long time, without any
problems, but his ratings aren=t as high as those of other surgeons at
the hospital. The second surgeon=s ratings are much higher, but no one
you know personally has ever been one of his patients. Which surgeon
would you be more likely to choose?

76 Surgeon seen before, but not well rated

20 Surgeon not seen before, but rated higher

[4]{.underline} Don\'t know

100

44\. Suppose you HAD TO CHOOSE between two different hospitals. The
first one is the hospital you and your family have used for many years
without any problems, but the second hospital is rated much higher in
quality by the experts. Which hospital would you be more likely to
choose?

72 Hospital that is familiar

25 Hospital that is rated higher

[3]{.underline} Don\'t know

100

45\. I=m going to read you some different sources that might provide
information about the quality of health care you receive. I=d like to
know how believable you generally find each one. (First,) do you think
information that you get about quality of care from\...is very
believable, somewhat believable, not too believable, or not at all
believable? What about information you get about quality from\...

Some- Not Not

Very what too At All Don=t

[Believable]{.underline} [Believable]{.underline} [Believable
Believable]{.underline} [Know]{.underline}

a\. Employers 19 61 11 7 2 =100

b\. Health plans and health

insurance companies 12 63 14 8 3 =100

c\. Groups of doctors like

state medical societies 9 58 21 11 1 =100

d\. Individual doctors 29 62 4 3 2 =100

e\. Friends and family

members 50 43 4 2 1 =100

f\. Patients who are

surveyed about their

satisfaction with a plan 34 54 7 4 1 =100

g\. Independent

organizations that

evaluate health plans 19 60 12 7 2 =100

h\. Government agencies 7 51 21 19 2 =100

i\. Newspapers, television

and other media 5 49 27 18 1 =100

46\. Some people believe that health plans can do a lot to improve
peoples= health by giving them opportunities to practice preventive
care, such as routine medical screening and weight control programs.
Others say health plans can=t make much difference, because most people
don=t do enough to take advantage of preventive care opportunities.
Which comes closer to your opinion\...

***BASED ON FORM 1 RESPONDENTS; n=1001.***

69 Health plans can do a lot to improve people=s health, OR

28 Health plans can=t make much difference?

[3]{.underline} Don=t know

47\. In general, how much influence do you think THE HEALTH INSURANCE
PLAN has on the QUALITY of health care its members get? Would you
say\...

***BASED ON FORM 1 RESPONDENTS; n=1001.***

46 A lot of influence

38 Some influence

12 Only a little influence, OR

3 No influence?

[1]{.underline} Don\'t know

100

48\. In general, how much influence do you think DOCTORS have on the
QUALITY of health care their patients get? Would you say\...

***BASED ON FORM 1 RESPONDENTS; n=1001.***

56 A lot of influence

35 Some influence

7 Only a little influence, OR

1 No influence?

[1]{.underline} Don\'t know

100

49\. Which do you think has MORE influence on the quality of care\...

***BASED ON FORM 1 RESPONDENTS; n=1001.***

27 The health insurance plan

43 The doctor

1 Both equally **(Answer volunteered)**

29 Neither has a lot of influence

[\*]{.underline} Don\'t know

100

50\. If a health plan has\...do you think the doctors, the health plan,
or the patients are usually most responsible?

a\. High rates of preventive care such as immunizations and cancer
screening

35 The doctors

37 The health plan

23 The patients

1 All equally

**\*** Doctors and patients, not the plan

1 Doctors and health plan, not patients

\* Other/Neither

[3]{.underline} Don=t know

100

b\. High patient ratings of satisfaction with health care services
provided

47 The doctors

26 The health plan

19 The patients

2 All equally

**\*** Doctors and patients, not the plan

2 Doctors and health plan, not patients

\* Other/Neither

[4]{.underline} Don=t know

100

c\. Low rates of patients leaving the plan

35 The doctors

37 The health plan

20 The patients

2 All equally

**\*** Doctors and patients, not the plan

2 Doctors and health plan, not patients

\* Other/Neither

[4]{.underline} Don=t know

100

d\. A high overall quality of care

53 The doctors

25 The health plan

14 The patients

3 All equally

1 Doctors and patients, not the plan

1 Doctors and health plan, not patients

\* Other/Neither

[3]{.underline} Don=t know

100

51\. As you may know, some health plans require their doctors to follow
certain guidelines in treating patients. Some people think this is a
good thing because all patients will benefit from proven techniques.
Others think it is a bad thing because decisions about treatment should
be entirely up to the doctor. Which comes closer to your view?

> ***BASED ON FORM 2 RESPONDENTS; n=1005.***

39 Good thing

56 Bad thing

[5]{.underline} Don=t know

100

52\. Suppose there was a person you could go to when you have a
complaint about your health care. This person would hear and investigate
your complaint, and help resolve any problems you might have with your
health insurance plan. How likely would you be to contact such a
person\...very likely, somewhat likely, not too likely, or not at all
likely?

***BASED ON FORM 1 RESPONDENTS; n=1001.***

Very Somewhat Not Too Not At All Don=t

[Likely]{.underline} [Likely]{.underline} [Likely]{.underline} [All
Likely]{.underline} [Know]{.underline}

> a\. If they worked for

the health insurance

plan 42 35 11 11 1 =100

b\. If they worked through

an independent

organization 47 34 9 9 1 =100

53\. How effective do you think current certification, licensing and
accreditation activities in the health care field are in ensuring the
quality of care? Do you think they are\...

***BASED ON FORM 2 RESPONDENTS; n=1005.***

32 Very effective

55 Somewhat effective

6 Not too effective

3 Not at all effective

[4]{.underline} Don\'t know

100

54\. What, if anything, do you think the government should do about the
quality of health care\...

> ***BASED ON FORM 2 RESPONDENTS; n=1005.***

Monitor health plans, doctors and hospitals to make sure they meet
minimum

12 standards for quality of care,

Make sure information about the quality of health care is available so
people

24 can judge for themselves,

52 Do both,

10 Do neither

[2]{.underline} Don\'t know

100

55\. Now I have just a few more background questions\... Who in your
household makes MOST of the decisions related to health care \-- such as
which doctor to see, or which hospital to use? Is it you, your
husband/wife, you and your husband/wife together,

your parents or does someone else make most of these decisions?

87 Total respondents decides

52 Self

34 Self and spouse

1 Self and parents/someone else **(Answer volunteered)**

13 Total someone else decides

5 Spouse or partner 5 Parents

3 Someone else

\* Other **(Answer volunteered)**

[\*]{.underline} Don=t know

100

56\. Do you currently have a regular doctor, or not?

80 Yes

19 No

[1]{.underline} Don=t know

100

57\. In the past 12 months, how many times have you, yourself, done each
of the following\...?

> a\. Made a doctor visit?

80 Total with any visits

10 10 or more

14 5-9

8 4

12 3

18 2

18 1

19 No doctor visits

[1]{.underline} Don=t know 100

> b\. Had an overnight stay in a hospital?

11 Total with any overnight stays

4 Two or more

7 One

89 No overnight stays

[\*]{.underline} Don=t know 100

> c\. Gone to a hospital emergency room for medical treatment?

24 Total with any ER visits

8 Two or more

16 One

75 No ER visits

[1]{.underline} Don=t know

100

58\. Has anyone else in your household had an overnight stay in a
hospital in the past 12 months?

12 Yes

77 No

\* Don=t know

[11]{.underline} Respondent hospitalized overnight

100

59\. Are you, or is someone else in your household now receiving regular
medical treatment or making regular doctor visits for any chronic health
problem\--such as asthma, high blood pressure or cancer?

29 Yes

71 No

[\*]{.underline} Don=t know

100

60\. How many books do you own about health, healthy living, or taking
care of yourself\...

21 None

40 1 to 3

21 4 to 9

17 10 or more

[1]{.underline} Don=t know

100

61\. How often do you read magazines or newsletters about health, health
living, or taking care of yourself\...

32 Regularly

39 Sometimes

20 Hardly ever

9 Never

[\*]{.underline} Don=t know

100

Finally, I\'d like to ask you a few questions for statistical purposes
only\...

D2. In politics TODAY, do you consider yourself a Republican, Democrat,
or Independent?

29 Republican

31 Democrat

30 Independent

1 Other party

[9]{.underline} No preference/Don=t know

100

D3. Are you NOW employed full-time, part-time or are you not employed
for pay?

57 Yes, full-time

11 Yes, part-time

18 No, not employed

11 Retired **(Answer volunteered)**

1 Homemaker **(Answer volunteered)**

1 Student **(Answer volunteered)**

1 Disabled **(Answer volunteered)**

[\*]{.underline} Don=t know

100

D4. Is your husband/wife or partner NOW employed full-time, part-time or
not employed for pay?

> ***BASED ON RESPONDENTS MARRIED/LIVNG AS MARRIED; n=1145.***

62 Yes, full-time

10 Yes, part-time

15 Not employed

11 Retired **(Answer volunteered)**

2 Homemaker **(Answer volunteered)**

\* Student **(Answer volunteered)**

[\*]{.underline} Disabled **(Answer volunteered)**

100

D5. Are you the parent or guardian of any children under 18 now living
in your household?

36 Yes

[64]{.underline} No

100

D6. What is the LAST grade or class that you COMPLETED in school?

3 None, or grade 1-8

13 High school incomplete (grades 9-11)

34 High school graduate (grade 12 or GED certificate)

4 Business, technical, or vocational school AFTER high school

24 Some college, no 4-year degree

13 College graduate (B.S., B.A. or other 4-year degree)

Post-graduate training or professional schooling after college (e.g.,
toward a 8 master\'s degree or Ph.D; law or medical school)

[1]{.underline} Don\'t Know

100

D7. What is your age?

23 18-29

42 30-49

18 50-64

15 65 and older

[2]{.underline} Refused

100

D8. Last year, that is in 1995, what was your total family income from
all sources, before taxes? Just stop me when I get to the right
category.

7 Less than \$10,000

15 \$10,000 to under \$20,000

17 \$20,000 to under \$30,000

24 \$30,000 to under \$50,000

14 \$50,000 to under \$75,000

6 \$75,000 or under \$100,000

5 \$100,000 or more

[12]{.underline} Don\'t know

100

D9. Are you, yourself, of Hispanic or Latino background, such as
Mexican, Puerto Rican, Cuban, or some other Spanish background?

D10. What is your race? Are you white, black, Asian or some other race?

81 White

10 Black or African American

5 Hispanic

1 Asian

1 Other or mixed race

[2]{.underline} Undesignated

Thank you very much for taking the time to answer my questions. Have a
nice day/evening.

[^1]: n ^1^This category excludes those over the age of 65 who are
    retired and also covered by Medicare.