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人格变量对卫生服务消费的预测作用。

Personality Variables as Predictors of Health Services Consumption.

机构信息

Department of Psychology, Universidade da Coruna, 15071 A Coruna, Spain.

Department of Social Work, Universidade de Vigo, 36310 Vigo, Spain.

出版信息

Int J Environ Res Public Health. 2021 May 13;18(10):5161. doi: 10.3390/ijerph18105161.

Abstract

Expenditure on healthcare and services can be a serious problem for public health. Personality variables should be included as indicators to be considered when studying the consumption of health resources and their planning. This study aims to identify the psychological and psychosocial variables that identify people who can be considered high consumers of health resources versus those who barely consume such resources. The sample was made up of a total of 1124 subjects; one half were men, and one half were women, all of legal age and residents in Spain. A battery of tests was created that included a questionnaire of sociodemographic variables and of healthcare consumption, as well as several psychological variables (Zimbardo Time Paradox Inventory, Multidimensional Locus of Control Scale, Psychological Reactance Scale, Coping Responses Inventory, self-efficacy scale applied to health, and the Symptom Checklist-90-R). The following variables of the model were significant predictors ( ≤ 0.05): a negative past, a fatalistic present, psychological cognitive reactance, behavioral coping, health self-efficacy, and the level of somatization. Data from the statistical analyses show how to create a psychological profile of people who are high consumers of healthcare resources that will allow for the creation of intervention programs in this regard.

摘要

医疗保健和服务支出可能是公共卫生的一个严重问题。个性变量应包括在研究卫生资源消费及其规划时需要考虑的指标中。本研究旨在确定能够被认为是高卫生资源消费者与几乎不消费这些资源的人的心理和社会心理变量。样本由总共 1124 名受试者组成;一半是男性,一半是女性,均为法定年龄且居住在西班牙。创建了一个测试组合,其中包括一个社会人口统计学变量和医疗保健消费问卷,以及几个心理变量(津巴多时间悖论量表、多维控制源量表、心理反应量表、应对反应量表、应用于健康的自我效能量表和症状清单-90-R)。该模型的以下变量是显著的预测因子(≤0.05):消极的过去、宿命论的现在、心理认知反应、行为应对、健康自我效能和躯体化水平。统计分析的数据表明,如何为高卫生资源消费者创建一个心理特征,以便在这方面创建干预计划。

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