Alkhawaldeh Abdullah, ALBashtawy Mohammed, Rayan Ahmad, Abdalrahim Asem, Musa Ahmad, Eshah Nidal, Abu Khait Abdallah, Qaddumi Jamal, Khraisat Omar, ALBashtawy Sa'd
Department of Community and Mental Health, Princess Salma Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan.
Faculty of Nursing, Zarqa University, Zarqa, Jordan.
Iran J Public Health. 2023 Jul;52(7):1346-1354. doi: 10.18502/ijph.v52i7.13236.
Anderson's model provides a theoretical structure to understand use of health service. This scoping review aimed to examine the application of Andersen's behavioral model in different studies.
Related studies that were published between 2012 and 2021 were retrieved by searching PubMed, Science Direct, and CINAHL databases. Fourteen studies satisfied the criteria for inclusion.
The reviewed studies specified that the Andersen's Model has been used in numerous parts of the health system and concerning different illnesses. The reviewed studies revealed differences in the factors examined. Most of the studies examined age, education, gender, marital status, and employment status as predisposing factors, and income, medical insurance, and living location as enabling factors. While, the chronic illnesses and perceived general health status were examined as need factors, in addition to an extensive diversity of health conditions and illnesses. Though the associations were established among the key factors tested in the reviewed studies and health care service use, the findings were inconsistent. In the reviewed studies, the setting and the study population characteristics looked to have a strong influence on the direction and strength of these associations.
Merely a slight number of common factors were examined and there were enormous differences in the methods by which these factors were classified. Future and primary studies are necessary to deepen our understanding of the use of health care services and the complexity of the Andersen's behavioral model.
安德森模型为理解卫生服务利用提供了一个理论框架。本综述旨在考察安德森行为模型在不同研究中的应用情况。
通过检索PubMed、Science Direct和CINAHL数据库，获取2012年至2021年间发表的相关研究。14项研究符合纳入标准。
纳入综述的研究表明，安德森模型已被应用于卫生系统的多个领域以及涉及不同疾病的研究。这些研究揭示了所考察因素存在差异。大多数研究将年龄、教育程度、性别、婚姻状况和就业状况作为 predisposing因素，将收入、医疗保险和居住地点作为促成因素。同时，除了广泛多样的健康状况和疾病外，慢性病和感知到的总体健康状况被作为需求因素进行考察。尽管在纳入综述的研究中所测试的关键因素与卫生保健服务利用之间建立了关联，但结果并不一致。在这些研究中，研究背景和研究人群特征似乎对这些关联的方向和强度有很大影响。
仅考察了少数几个共同因素，且在这些因素的分类方法上存在巨大差异。未来需要开展进一步的基础研究，以加深我们对卫生保健服务利用以及安德森行为模型复杂性的理解。
