MEDICAL NEED AND USE OF SERVICES AMONG OLDER MEN AND WOMEN
MEDICAL NEED AND USE OF SERVICES AMONG OLDER MEN AND WOMEN
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DOI：
10.1093/geronj/43.5.s162
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发表时间：
1988-09-01
期刊：
影响因子：
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通讯作者：
FERRARO, KF
中科院分区：
文献类型：
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作者：
MUTRAN, E;FERRARO, KF
本文提出了一个模型的过程中，男子和妇女评估他们的健康和利用医疗保健系统。有人认为，分析性别角色对医疗保健的影响必须着眼于整个过程，而不仅仅是关注医生就诊和住院的结果变量。性别的相互作用被强调，但种族的相互作用也被检查。调查结果显示，男性和女性在报告的疾病数量、患有危及生命的疾病的可能性、残疾程度以及对健康的看法方面存在差异。医疗需求的指标被认为是最强的措施，在预测最近看医生，但是，医生访问有最强的影响，在确定住院。没有发现性别或种族对医生就诊有直接影响，只有一种相互作用是显着的;然而，当医疗服务使用的衡量标准是住院时，结果非常不同。在预测住院时，发现了性别和种族的加性和交互作用。
This article presents a model of the process by which men and women evaluate their health and utilize the medical care system. It is argued that an analysis of the effects of sex roles on medical care must look at the entire process and not just focus on the outcome variables of physician visits and hospitalization. Gender interactions are emphasized, but race interactions also are examined. Findings show that men and women differ in the number of illnesses they report, the likelihood of having a life-threatening illness, the degree of disability, and their perception of their health. Indicators of medical need were found to be the strongest measures in predicting the recency of seeing a physician; however, the physician visit had the strongest effect in determining hospitalization. No direct of gender or race on physician visits were found, and only one interaction was significant; however, the results were very different when the measure of medical care use was hospitalization. Both additive and interactive effects by gender and race were found when predicting hospitalization.