Branch L, Jette A, Evashwick C, Polansky M, Rowe G, Diehr P
J Community Health. 1981 Winter;7(2):80-92. doi: 10.1007/BF01323227.
Providing appropriate health services to the elderly is emerging as one of the major challenges of this decade. Using the theoretical framework developed by Andersen and Aday, this study attempts to improve our understanding of those factors which inhibit or facilitate elders' use of health services. The data come from a 1974 statewide random probability sample of 1,625 noninstitutionalized elders 65 years of age or older living in Massachusetts. Regression analysis is used to study the effects of predisposing, enabling, and need characteristics on the use of five health services: hospitals, physicians, dentists, home care, and ambulatory care. The model explains from 5% to 27% of the variance in health service utilization. Need characteristics, in general, account for most of the explained variance.
为老年人提供适当的医疗服务正成为这十年的主要挑战之一。本研究运用安德森和阿代提出的理论框架，试图增进我们对那些抑制或促进老年人使用医疗服务的因素的理解。数据来自1974年对马萨诸塞州1625名65岁及以上非机构化老年人进行的全州随机概率抽样。回归分析用于研究易患因素、促成因素和需求特征对医院、医生、牙医、家庭护理和门诊护理这五种医疗服务使用情况的影响。该模型解释了医疗服务利用率方差的5%至27%。总体而言，需求特征占解释方差的大部分。
