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“I think sometimes the whole process is just a little bit intimidating”: modeling the health insurance decision-making process

Emily Vardell (School of Library and Information Management, Emporia State University, Emporia, Kansas, USA)

Journal of Documentation

ISSN: 0022-0418

Article publication date: 4 April 2023

Issue publication date: 24 October 2023

125

Abstract

Purpose

This qualitative study explores how individuals understand health insurance concepts and make health insurance purchase decisions. The study sought to develop a model of the health insurance decision-making process.

Design/methodology/approach

This study used semi-structured interview questions and the micro-moment time-line interview technique with newly hired employees to discuss the steps that individuals follow when making health insurance decisions. The researcher used an open coding approach to analyze the steps listed by each participant, and emergent themes were used to code all interview transcripts in Atlas.ti.

Findings

This study identified information tactics used by individuals when evaluating health insurance documentation. The findings also shed light on the personal reflection individuals undertake when making their health insurance choices.

Practical implications

The information needs and preferred information sources identified in this study will be of interest to information professionals and human resources officers providing assistance with health insurance enrolment.

Originality/value

The findings demonstrating that participants characterized their health insurance choice as a shared decision is a novel contribution of this study.

Keywords

Acknowledgements

This project was funded by the Thomson Reuters/Medical Library Association Doctoral Fellowship and the Eugene Garfield Doctoral Dissertation Fellowship. The funding was used to purchase research incentives for participants and to pay for audio transcription services.

Citation

Vardell, E. (2023), "“I think sometimes the whole process is just a little bit intimidating”: modeling the health insurance decision-making process", Journal of Documentation, Vol. 79 No. 6, pp. 1346-1368. https://doi.org/10.1108/JD-06-2022-0140

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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