Andersen R M, Davidson P L
Department of Health Service, University of California, Los Angeles 90095, USA.
Adv Dent Res. 1997 May;11(2):203-9. doi: 10.1177/08959374970110020201.
An expanded version of Andersen's Behavioral Model of Health Services Utilization is used as the theoretical and analytical framework for the International Collaborative Study of Oral Health Outcomes (ICS-II). The conceptual framework for understanding determinants of oral health is based on a "systems" perspective. The framework posits that characteristics of the external environment, the dental care delivery system, and the personal characteristics of the population influence oral health behaviors. The expanded behavioral model conceptualizes health behaviors (oral hygiene practices and dental services utilization) as intermediate dependent variables, which in turn influence oral health outcomes (evaluated, perceived, patient satisfaction). The framework is presented with an increased focus on the effects of race-ethnicity and age cohort, the major exogenous variables used in this study for systematic assessment of the differences in the multitude of factors influencing oral health. The framework can be applied by policy analysis and health services managers to help describe, predict, and explain population-based health behaviors and health outcomes.
安徒生健康服务利用行为模型的扩展版本被用作国际口腔健康结果合作研究（ICS-II）的理论和分析框架。理解口腔健康决定因素的概念框架基于“系统”视角。该框架假定外部环境、牙科护理提供系统的特征以及人群的个人特征会影响口腔健康行为。扩展的行为模型将健康行为（口腔卫生习惯和牙科服务利用）概念化为中间因变量，而这些中间因变量反过来又会影响口腔健康结果（评估的、感知的、患者满意度）。该框架更多地关注种族和年龄组的影响，这是本研究中用于系统评估影响口腔健康的众多因素差异的主要外生变量。政策分析人员和卫生服务管理人员可以应用该框架来帮助描述、预测和解释基于人群的健康行为和健康结果。
