Keith V M, Jones W
Texas A&M University, College Station 77843.
J Health Soc Policy. 1990;1(3):73-88. doi: 10.1300/J045v01n03_05.
Andersen's (1968) behavioral model was used to assess whether factors predictive of health services utilization are the same or different for elderly blacks and whites. We hypothesized that because the black elderly have fewer resources, lower psychological well-being, and are in worse health, situational and attitudinal factors suggested by the model have different effects for blacks and whites. Using three measures of utilization--physician contact, hospital contact, and nights hospitalized--our findings show some support for differential effects, particularly in the case of physician contact. Neither resource factors such as health insurance nor psychological well-being were predictive of utilization within the black population. We conclude with some suggestions for future research.
安德森（1968年）的行为模型被用于评估预测医疗服务利用情况的因素对于老年黑人和白人来说是相同还是不同。我们假设，由于老年黑人资源较少、心理健康水平较低且健康状况较差，该模型所提出的情境因素和态度因素对黑人和白人有着不同的影响。通过使用三项利用情况的衡量指标——与医生接触、住院和住院天数——我们的研究结果显示出对不同影响的一些支持，特别是在与医生接触这方面。无论是医疗保险等资源因素还是心理健康水平，在黑人人群中都无法预测医疗服务的利用情况。我们最后给出了一些对未来研究的建议。
