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

Published in JHHSA, Vol. 37 No. 1

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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