Counte M A
School of Public Health, Saint Louis University, USA.
Health Serv Res. 1998 Jun;33(2 Pt Ii):402-23.
To address the likely influences, on options faced by older clients, of specific changes in the delivery system and several possible responses to these changes and the changed options, by older persons in the aggregate.
Four specific topics are discussed at length: (1) the probable altered role for the older healthcare client brought on by organizational changes; (2) findings from research on elderly health maintenance behavior and reasons for the increased importance of this issue; (3) the effectiveness of the conventional approach to explaining health services utilization in population studies; and (4) recommendations for future research into the direct or indirect influence of organizational changes in the primary healthcare system on the health-related decisions and behaviors of older persons.
探讨医疗服务提供系统的特定变化对老年客户面临的选择可能产生的影响，以及老年人总体上对这些变化和变化后的选择的几种可能反应。
详细讨论了四个具体主题：（1）组织变革给老年医疗客户带来的可能改变的角色；（2）老年健康维持行为的研究结果以及该问题重要性增加的原因；（3）在人群研究中解释医疗服务利用的传统方法的有效性；（4）关于初级医疗系统组织变革对老年人健康相关决策和行为的直接或间接影响的未来研究建议。
