{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:37:03Z","timestamp":1754156223364,"version":"3.41.2"},"reference-count":40,"publisher":"Emerald","issue":"6","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JD"],"published-print":{"date-parts":[[2023,10,24]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>The findings demonstrating that participants characterized their health insurance choice as a shared decision is a novel contribution of this study.<\/jats:p><\/jats:sec>","DOI":"10.1108\/jd-06-2022-0140","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T06:47:42Z","timestamp":1680504462000},"page":"1346-1368","source":"Crossref","is-referenced-by-count":1,"title":["\u201cI think sometimes the whole process is just a little bit intimidating\u201d: modeling the health insurance decision-making process"],"prefix":"10.1108","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3037-4789","authenticated-orcid":false,"given":"Emily","family":"Vardell","sequence":"first","affiliation":[]}],"member":"140","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"issue":"2","key":"key2023102318081118800_ref001","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00115514-201103000-00005","article-title":"Selecting a provider: what factors influence patients' decision making?","volume":"56","year":"2011","journal-title":"Journal of Healthcare Management"},{"first-page":"5497","article-title":"Preparedness of Americans for the affordable care act","year":"2014","key":"key2023102318081118800_ref003"},{"issue":"1","key":"key2023102318081118800_ref039","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/1475-6773.12181","article-title":"Determinants of coverage decisions in health insurance marketplaces: Consumers\u2019 decision-making abilities and the amount of information in their choice environment","volume":"50","year":"2015","journal-title":"Health Services Research"},{"issue":"4","key":"key2023102318081118800_ref004","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1177\/1077558711435365","article-title":"One fish, two fish, red fish, blue fish: effects of price frames, brand names, and choice set size on Medicare part D insurance plan decisions","volume":"69","year":"2012","journal-title":"Medical Care Research and Review"},{"issue":"10","key":"key2023102318081118800_ref005","article-title":"Physician trainees' decision making and information processing: choice size and Medicare Part D","volume":"8","year":"2013","journal-title":"PLOS ONE"},{"issue":"2","key":"key2023102318081118800_ref006","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/10810730.2014.921742","article-title":"Socioeconomic and sociodemographic predictors of cancer-related information sources used by cancer survivors","volume":"20","year":"2015","journal-title":"Journal of Health Communication"},{"volume-title":"An Overview of Sense-Making Research: Concepts, Methods and Results","year":"1983","key":"key2023102318081118800_ref007"},{"issue":"12","key":"key2023102318081118800_ref008","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1007\/s11606-009-1127-1","article-title":"When relatives and friends ask physicians for medical advice: ethical, legal, and practical considerations","volume":"24","year":"2009","journal-title":"Journal of General Internal Medicine"},{"issue":"1","key":"key2023102318081118800_ref009","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/1468-0009.00161","article-title":"Do consumers use information to choose a healthcare provider?","volume":"78","year":"2000","journal-title":"Milbank Quarterly"},{"issue":"6","key":"key2023102318081118800_ref010","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1037\/a0023951","article-title":"Choosing the right Medicare prescription drug plan: the effect of age, strategy selection, and choice set size","volume":"30","year":"2011","journal-title":"Health Psychology"},{"issue":"2","key":"key2023102318081118800_ref011","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1111\/1475-6773.00141","article-title":"How do patients choose physicians? 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