02806cam a2200481 i 4500001001900000003000500019008004100024010001600065020002200081027002100103035002000124037001100144040001900155043001200174050002200186245009400208264003700302300004600339336002600385337002600411337002800437338003600465338002700501500001900528500008100547504005400628520099700682530005801679588004701737650004101784650006001825650004701885700003701932700003301969700004402002700002802046700004102074700003202115710002202147710003802169710005802207856005902265rnd000000000047417RAND920212s1986    caua     b    000 0 eng d  a   86022028  a0833007580 (pbk.)  aRAND/R-3266-HCFA  a(Sirsi) a188526  c$40.00  aCstmoRcCstmoR  an-us---00aRA445b.P659 198600aPreventive medical care :bstandards, usage, and efficacy /cLee A. Lillard ... [et al.]. 1aSanta Monica, CA :bRAND,c1986.  axvii, 166 pages :billustrations ;c28 cm  atextbtxt2rdacontent  acomputerbc2rdamedia  aunmediatedbn2rdamedia  aonline resourcebcr2rdacarrier  avolumebnc2rdacarrier  a"August 1986."  a"The work draws on data from the RAND Health Insurance Experiment"--Preface.  aIncludes bibliographical references (p. 163-166).  aThis study examines preventive medical care in a general population. Data in the RAND Health Insurance Experiment were examined. These data are based on a demographically representative sample. Random assignment of insurance coverage guarantees results unaffected by adverse selection. Many people, especially adult males, do not get the recommended levels of preventive care. It would cost about $10 per man to bring men up to a level of one well-care visit in three years, nearly the same per woman, and $116 per woman aged 45 to 65 if a mammogram were included.  It would cost $22 more per child to ensure that every child had a full set of shots by 18 months. Although cost-sharing is an important determinant of the use of services, it is not the only obstacle to receiving the recommended levels of preventive care. A much more generous plan than those commonly available still had substantial fractions of the population not seeking the wellness care the medical profession recommends.  aAlso available on the internet via WWW in PDF format.  aDescription based on print version record. 0aMedicine, PreventivezUnited States. 0aPreventive health servicesxUtilizationzUnited States. 2aPreventive Health ServiceszUnited States.1 aLillard, Lee A.,d1943-eauthor.1 aManning, Willard G.eauthor.1 aPeterson, Christine E.,d1954-eauthor.1 aLurie, Nicole.eauthor.1 aGoldberg, George A.,d1941-eauthor.1 aPhelps, Charles E.eauthor.2 aRand Corporation.2 aRAND Health Insurance Experiment.1 aUnited States.bHealth Care Financing Administration.41yOnline Accessuhttp://www.rand.org/pubs/reports/R3266/