Upstream or downstream. Determinants of consumer willingness to recommend an HMO.

Academic Article


  • Understanding the attributes that explain an HMO members' willingness to recommend a health plan is considered by many to be critical in a competitive managed care market. The study reported in this article examines the relationship between provider panel composition on overall willingness to recommend a health plan. Our results indicate that a strong association exists between an HMO member's available choice of primary care physician and recommendation of their primary care physician with overall HMO members' recommendation of the health plan. Interestingly, a member's recommendations of hospitals and specialists did not influence HMO member's willingness to recommend a health plan.
  • Published In


  • Female, Health Benefit Plans, Employee, Health Care Surveys, Health Maintenance Organizations, Humans, Male, Midwestern United States, Patient Satisfaction, Physicians, Family, Primary Health Care, Quality Indicators, Health Care, Referral and Consultation, State Government, Telephone
  • Author List

  • Williams DR; O'Connor SJ; Shewchuk RM
  • Start Page

  • 175
  • End Page

  • 180
  • Volume

  • 26
  • Issue

  • 2