FAMILY HEALTH - UTILIZATION AND EFFECTS OF FAMILY MEMBERSHIP
FAMILY HEALTH - UTILIZATION AND EFFECTS OF FAMILY MEMBERSHIP
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DOI：
10.1097/00005650-198707000-00005
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发表时间：
1987-07-01
期刊：
影响因子：
3
通讯作者：
HANKIN, J
中科院分区：
文献类型：
--
作者：
SCHOR, E;STARFIELD, B;HANKIN, J
这项研究的目的是确定家庭成员具有相似和相互关联的健康行为的程度。以家庭成员为主要分析单位，对连续6年参加预付费健康计划的693个家庭的8万多次门诊就诊的利用率和发病率数据进行了审查。家庭成员之间的服务使用率相似(r=0.44；P<；0.001)。父母对孩子的利用有很大的影响，在这方面，母亲通常比父亲强大两到三倍。除家庭规模外，家庭结构特征对家庭健康行为的影响不大。即使考虑到家庭规模和家庭成员的年龄和性别，家庭成员身份也解释了个人利用差异的近三分之一。一小部分家庭(5%)在卫生保健利用中占不成比例的大份额(12.3%)。在几个主要的诊断类别中，家庭内的发病率模式是明显的，最明显的是急性健康问题。在高利用率的家庭中，家庭内相关性最大。家庭建立的健康行为模式随着时间的推移是稳定的，因此可能容易受到选择性干预。我们的结论是，无论是提供服务还是健康教育干预，卫生保健规划都应将家庭健康数据作为重要的信息来源。
The purpose of this study was to determine the extent to which members of families have similar and interralated health behavior. Utilization and morbidity data from more than 80,000 ambulatory visits by 693 families enrolled in a prepaid health plan for 6 consecutive years were examined using family membership as the major unit of analysis. Family members were found to resemble one another in their rates of use of services (r= 0.44; P< 0.001). Parental influence on children's utilization is significant, mothers generally being two to three times more powerful than fathers in this regard. Apart from family size, structural characteristics of families contribute little to family health behavior. Family membership explains nearly one third of the variance of individual utilization even after family size and age and sex of family members are considered. A small proportion of families (5%) accounts for a disproportionately large share (12.3%) of health care utilization. Intrafamilial patterns of morbidity were apparent for several major groupings of diagnoses, most notably for acute health problems. Intrafamilial correlation were greatest among high-utilizing families. Families establish patterns of health behavior that are stable over time and therefore may be amenable to selective interventions. We conclude that health care planning, whether for service delivery or health education intervention, should consider family health data as an important information source.