Kurz R S, Haddock C, Van Winkle D L, Wang G
School of Public Health, St. Louis University Medical Center, MO 63104.
Med Care. 1991 Sep;29(9):878-89. doi: 10.1097/00005650-199109000-00007.
The objective of this study was to examine the effects of hearing impairment on the utilization of physician and hospital services in the U.S. adult population. Andersen's behavioral model of health services utilization served as the conceptual framework for the study, and data used for the analyses were taken from two years (1971, 1977) of the Health Interview Survey. Hearing impaired persons used significantly more physician services than hearing persons. Hearing impairment had no effect on the number of hospitals days used but had a significant, positive effect on hospital contact and hospital episodes. In addition, neither the type nor the severity of the impairment had a consistent effect on utilization. These findings were consistent for both years of study data. The study's findings, implications, and suggestions for future research are discussed.
本研究的目的是考察听力障碍对美国成年人群体利用医生和医院服务的影响。安德森的卫生服务利用行为模型作为该研究的概念框架，分析所用数据取自两年（1971年、1977年）的健康访谈调查。听力受损者比听力正常者使用的医生服务显著更多。听力障碍对住院天数没有影响，但对住院接触和住院次数有显著的正向影响。此外，障碍的类型和严重程度对服务利用均没有一致的影响。这两年的研究数据得出的结果是一致的。本文讨论了该研究的结果、启示以及对未来研究的建议。
