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A Longitudinal Model of the Dynamics Between HMOs’ Consumer-Friendliness and Preventive Health Care Utilization

JHHSA, Vol. 37 No. 1, (2014)

This study aims at replicating and extending Xiao and Savage’s (2008) research to understand the multidimensional aspect of HMOs distinguished by HMOs’ consumer-friendliness, and their relationship to consumers’ preventive care utilization. This study develops a dynamic model to consider both concurrent and time lagging effects of HMOs’ consumer-friendliness. Our data analysis discloses similar relationship patterns as revealed by Xiao and Savage. Additionally, our findings reveal the time-series changes of the influence of HMOs’ consumer-friendliness that either the effects of early experienced HMOs' consumer-friendliness wear out totally or HMOs’ consumer- friendly characteristics on the concurrent term contain most of the explanatory power.

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