Mkanta William N, Uphold Constance R
Department of Health Services Research, Management and Policy, University of Florida, Health Science Center, Gainesville, Florida 32610-0185, USA.
AIDS Patient Care STDS. 2006 Apr;20(4):293-303. doi: 10.1089/apc.2006.20.293.
Although empirical information on resource use during HIV infection is vital to improving quality of care, the issues involved in conducting research on resource use have received little attention in the medical literature. The purpose of this paper is to review the theoretical and methodological issues of conducting research on health care utilization patterns among persons with HIV/AIDS. Conceptual definitions of utilization are compared and contrasted. Three theoretical frameworks, the Andersen Behavioral Model, the Health Belief Model, and the Biopsychosocial Model are described to illustrate their applicability in future research studies. Research designs, measurement considerations, sampling approaches, and existing data sources on utilization are reviewed. Recommendations for health care utilization research are summarized and highlight the importance of designing studies and generating data for investigation of the factors facilitating patients' use of an optimal array of services including prevention, long-term, and rehabilitation care.
尽管关于艾滋病毒感染期间资源使用的实证信息对于提高护理质量至关重要，但医学文献中对开展资源使用研究所涉及的问题关注甚少。本文旨在综述对艾滋病毒/艾滋病患者的医疗保健利用模式进行研究的理论和方法问题。对利用的概念定义进行了比较和对比。描述了三个理论框架，即安德森行为模型、健康信念模型和生物心理社会模型，以说明它们在未来研究中的适用性。对研究设计、测量考量、抽样方法以及现有的利用数据源进行了综述。总结了医疗保健利用研究的建议，并强调了设计研究和生成数据以调查促进患者使用包括预防、长期和康复护理在内的最佳服务组合的因素的重要性。
