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Article: Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization.
- Article from:
- Health Services Research
- Article date:
- August 1, 1998
- Author:
CopyrightCOPYRIGHT 1998 Health Research and Educational Trust. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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One of the most frequently used frameworks for analyzing patient utilization of healthcare services is the behavioral model developed by Andersen, Aday, and others. This conceptual framework uses a systems perspective to integrate a range of individual, environmental, and provider-related variables associated with decisions to seek care. The focus of our analysis is on the environmental and provider-related factors that influence utilization, which we refer to as "contextual" variables because they measure the context or milieu in which utilization occurs. Since the time that the behavioral model was first developed in 1968 (Andersen 1968), it has been extensively critiqued ...