医疗卫生领域安德森模型的发展、应用及启示被引量：74

The development,application and implications of the Anderson Model in the field of healthcare

下载PDF

导出

摘要安德森模型自1968年创建以来,在倾向特征、促进资源和需要三个初始组成部分基础上,通过增加模型测量指标、调整结构、扩充路径关系、转变分析路径等方式历经5次修正和完善,实现了其作为理论模型的完整性及实证研究的可行性,最终获得了国际学术界的广泛认可。在欧美各国广泛应用于医疗卫生服务研究领域,作为分析影响个体就医选择、医疗花费、疾病筛查、药物使用等医疗卫生服务利用行为主要因素的理论模型。梳理并借鉴安德森模型的发展演变、国外应用研究进展,不但有助于我国医疗卫生服务领域的学术研究,亦对优化我国医疗卫生政策、国家卫生服务调查中问卷的指标设计具有现实指导意义。 The Anderson model was founded in 1968,based on the three initial components of predisposing characteristics,enabling resources and need as its original components. It has been modified and improved for five times since then by increasing measurement index,adjusting structure,expanding path relation,and transforming analysis path,to become a complete theoretical model and the feasibility of empirical research finally. The Anderson Model was widely recognized by the international academia,and used in the field of healthcare services research in United States and Europe as a theoretical model for analyzing the main influence factors of utilization behavior of health service,such as individual medical choice,medical costs,disease screening,drug use etc. This paper aimed to summarize the development and the usage of the model in foreign countries. It will be not only be helpful to the theoretical and applied research in the field of healthcare in China,but also be helpful to improving the medical and health policy and designing the questionnaire in the National Health Service Survey.

作者李月娥卢珊 LI Yue-e;LU Shan(School of Humanities and Law , Northeastern University , Shenyang Liaoning 110819 , China)

机构地区东北大学文法学院

出处《中国卫生政策研究》 CSCD 北大核心 2017年第11期77-82,共6页 Chinese Journal of Health Policy

关键词医疗卫生安德森模型卫生服务利用影响因素 Healthcare The anderson model Healthcare service use Influencing factors

分类号 R197 [医药卫生—卫生事业管理]

引文网络
相关文献

参考文献1

1王小万,刘丽杭.医疗保健服务利用行为模式[J].中国卫生事业管理,2003,19(8):500-502. 被引量：16

二级参考文献8

1Lilian Gelberg, Ronald Anersen," Applyint the Behavioral Model to Vulnerable Populations."Health Services Research,2000; 1.
2Baker,David W , Carl D Stevens, and Robert H. Brook. Regular Source of Ambulatory Care and Medical Care Utilization by Patients Presenting to a Public Hospital Emergency Departmetn .journal of the American Medical Association, 1994;271(24) : 1909 - 1912.
3M Bindman, B Andrew, et al. Preventable Hespitaliztions and Access to Care. Journal of the American Medical Association, 1995;274.(4.) :305 -311.
4Blendon, J, John T Young, and M DesRoches. The Uninsured, the Working Uninsured, and the Public, Health Affairs, 1999 ; 18 ( 6 ) : 203 -211.
5Blue Cross Blue Shield Association. State Legislative Health Care and Insurance Issues:2000 Survey of Plans. Washington, D. C. Blue Cross-Blue Shileld Association. 2002.
6R Andersen, L A Aday. Access to Medical Care in the U.S. : Realized and Potential. Medical Care, 1978 ; 16 : 533 - 546.
7Ronald Andersen and Mary. Margaret Clemens, "Revisiting the Behavioral Model and Access to Medical Care: Does it Matter"? Journal of Health and Social Behavior, 1995 ;36( 1 ) : 1 - 10.
8Ronald Andersenk, Nancy Harada, "Application of the Behavioral Model to health Studies of Asian and Pacific Islander Americans, "Asian and Pacific Islander Jounal of Health, 1995 ;3(2) : 129 - 141.