Kronenfeld J J
J Community Health. 1978 Winter;4(2):127-39. doi: 10.1007/BF01318949.
Two analytical techniques are applied to a household survey of Rhode Island residents to develop the concept of an affiliation with medical care provider. A modification of a deviant case analysis is used to examine those people who are extreme in terms of the numbers of affiliations that they have with medical care providers. Overall, 4.1% of the sample have no affiliations and 7.3% have four or more affiliations. One of the most important variables in distinguishing those people with an unusual number of affiliations is a subjective variable of health status--whether they worry about their health. Nonparticipants rarely worry about their health and are generally in good health, while those with a high number of affiliations worry a great deal, regardless of their actual health status. A multiple regression analysis reveals that the variables of number of health conditions, sex, insurance, worry about health, income, disability days, and family structure are significantly related to mean number of affiliations with an R2 of 19.5%. Discussion includes the study's implications both for greater understanding of how and why people seek care and for application in the further development of a social psychological model of health behavior.
两种分析技术被应用于对罗德岛居民的一项家庭调查，以形成与医疗服务提供者的关联概念。一种经过修改的偏差案例分析方法被用于研究那些在与医疗服务提供者的关联数量方面处于极端情况的人群。总体而言，样本中有4.1%的人没有关联，7.3%的人有四个或更多关联。区分那些关联数量异常的人的最重要变量之一是健康状况的主观变量——他们是否担心自己的健康。未参与者很少担心自己的健康，且总体健康状况良好，而那些关联数量多的人则非常担心，无论其实际健康状况如何。多元回归分析表明，健康状况数量、性别、保险、对健康的担忧、收入、残疾天数和家庭结构等变量与平均关联数量显著相关，决定系数R2为19.5%。讨论内容包括该研究对于更深入理解人们寻求医疗服务的方式和原因的意义，以及在健康行为社会心理模型的进一步发展中的应用。
