Factors affecting physician visits in Chinese and Chinese immigrant samples
Factors affecting physician visits in Chinese and Chinese immigrant samples
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DOI：
10.1016/j.socscimed.2007.10.016
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发表时间：
2008-02-01
影响因子：
5.4
通讯作者：
Wu, Bei
中科院分区：
文献类型：
--
作者：
Miltiades, Helen B.;Wu, Bei
本研究使用Andersen的卫生服务使用行为模型对居住在上海的中国老年人和居住在美国的移民中国老年人的西方医生利用率进行了预测。中国老年人相对于他们的人口规模而言研究不足，在美国，众所周知，医疗保健系统利用不足。利用不足与健康和福利状况不佳密切相关。一个独特的数据集使我们能够研究居住在不同国家的中国老年人的医生利用率的预测因素，以确定移民如何影响利用率。波士顿的177名华人老人和上海的420名华人老人参与了调查。对每个样本分别进行多元回归分析。波士顿样本的医生访问的预测因素是保险状况，健康和社会网络，而上海样本，使用中医药，健康和婚姻状况预测医生访问。我们发现，获得护理变量显着影响医生利用移民老年人，并在上海的中国老年人利用双文化系统的护理。结果表明，为了创造有效的医疗实践中，老年人，替代医疗信念应了解西方医生。(c)2007爱思唯尔有限公司保留所有权利。
This study examines predictors of Western physician utilization using the Andersen's Behavioral Model of Health Services Use for Chinese elders who reside in Shanghai and immigrant Chinese elders who reside in the US Chinese elders are under-studied relative to their population size and in the US are known to underutilize the healthcare system. Underutilization is highly correlated with poor health and well-being. A unique dataset allowed us to examine predictors of physician utilization for Chinese elders who resided in different countries, in an effort to determine how being an immigrant affects utilization. One hundred and seventy-seven Chinese elders in Boston and 420 Chinese elders in Shanghai participated in the survey. Multiple regression analyses were conducted separately for each sample. Predictors of physician visits for the Boston sample are insurance status, health, and social network, and for the Shanghai sample, use of Chinese medicine, health, and marital status predicted physician visits. We found that access to care variables significantly affects physician utilization for immigrant elders, and that Chinese elders in Shanghai utilize a bicultural system of care. The results indicate that in order to create effective healthcare practices for elder Chinese, alternative healthcare beliefs should be understood by Western physicians. (c) 2007 Elsevier Ltd. All rights reserved.