Predicting treatment-seeking behavior in Guatemala: A comparison of the health services research and decision-theoretic approaches
Predicting treatment-seeking behavior in Guatemala: A comparison of the health services research and decision-theoretic approaches
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DOI：
10.1525/maq.1997.11.2.224
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发表时间：
1997-06-01
影响因子：
2.2
通讯作者：
Klein, RE
中科院分区：
文献类型：
--
作者：
Weller, SC;Ruebush, TR;Klein, RE
本研究试图确定和描述与选择在危地马拉农村的医疗保健来源的因素。由于选择有限，危地马拉农村是研究影响利用模式的因素的最佳地点。从六个村庄的270户家庭中随机抽样收集了疾病病史。然后，两种不同的方法被用来预测治疗行动。首先，一个社会行为模型，其中包括使能，诱发和需要的因素，被用来预测治疗的选择。使用判别分析，我们确定了与使用家庭疗法，药房，卫生站，医生或民间治疗师相关的因素。在第二个平行研究中，使用描述性访谈来确定选择治疗策略的重要因素。从这些访谈中，以及从对假设疾病病例的反应中，我们开发了一个治疗行动的决策模型。这两个模型都是针对一组疾病病例进行测试的。结果表明，这两种方法识别相似的变量（特别是，严重程度），虽然通过多变量分析的变量选择是更成功的预测治疗行动。
This study attempts to identify and describe factors associated with the choice of a health care source in rural Guatemala. Because of limited choice options, rural Guatemala makes an excellent location for studying the factors that affect utilization patterns. Illness case histories were collected from a random sample of 270 households in six villages. Then, two different methodological approaches were used to predict treatment actions. First, a sociobehavioral model, which encompasses enabling, predisposing, and need factors, was used to predict treatment choices. Using discriminant analysis we identified factors associated with the use of home remedies, a pharmacy, the health post, a physician, or folk healer. In a second, parallel study, descriptive interviews were used to identify important factors in choosing a treatment strategy. From these interviews, and from responses to hypothetical illness cases, we developed a decision model of treatment actions. Both models were tested against the set of illness cases. Results indicate that both approaches identify similar variables (especially, severity), although selection of variables through the multivariate analysis was much more successful in predicting treatment actions.