The role of personality in health care use: Results of a population-based longitudinal study in Germany.
The role of personality in health care use: Results of a population-based longitudinal study in Germany.
复制标题
DOI：
10.1371/journal.pone.0181716
复制
发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
König HH
中科院分区：
文献类型：
--
作者：
Hajek A;Bock JO;König HH
为了确定个性在卫生保健中的作用，纵向使用。数据来自德国社会经济小组(GSOEP)，这是一项从1984年开始对德国家庭进行的具有全国代表性的纵向队列研究。围绕个性的作用，我们使用了2005年、2009年和2013年的数据。人格测量采用GSOEP大五问卷(BFI-S)。过去3个月的就诊次数和过去一年的住院时间被用作卫生保健使用的衡量标准。调整易感因素、使能资源和需求因素后，固定效应回归分析显示，神经质越强，就诊次数越多，而外向性、开放性、随意性和尽职性对就诊没有显著影响。自评健康对医生就诊的影响明显受到神经质的影响。此外，固定效应回归显示，过去一年的住院概率随着外向性的增加而增加，而其他人格因素对这一结果测量没有显著影响。我们的发现表明，神经质的变化与医生就诊的变化有关，而外向的变化与住院的可能性有关。由于最近的研究表明，治疗可以改变人格特征，因此制定干预策略应该考虑人格因素。例如，干预改变神经质的努力可能会对医疗体系产生有益的影响。
To determine the role of personality in health care use longitudinally. Data were derived from the German Socio-Economic Panel (GSOEP), a nationally representative, longitudinal cohort study of German households starting in 1984. Concentrating on the role of personality, we used data from the years 2005, 2009 and 2013. Personality was measured by using the GSOEP Big Five Inventory (BFI-S). Number of physician visits in the last 3 months and hospital stays in the last year were used as measures of health care use. Adjusting for predisposing factors, enabling resources, and need factors, fixed effects regressions revealed that physician visits increased with increasing neuroticism, whereas extraversion, openness to experience, agreeableness and conscientiousness did not affect physician visits in a significant way. The effect of self-rated health on physician visits was significantly moderated by neuroticism. Moreover, fixed effects regressions revealed that the probability of hospitalization in the past year increased with increasing extraversion, whereas the other personality factors did not affect this outcome measure significantly. Our findings suggest that changes in neuroticism are associated with changes in physician visits and that changes in extraversion are associated with the probability of hospitalization. Since recent studies have shown that treatments can modify personality traits, developing interventional strategies should take into account personality factors. For example, efforts to intervene in changing neuroticism might have beneficial effects for the healthcare system.
登录
查看更多内容
影响因子：
4.4
作者：
Issakidis, C;Andrews, G
通讯作者：
Andrews, G
影响因子：
3
作者：
ADAY, LA;ANDERSEN, RM
通讯作者：
ANDERSEN, RM
DOI：
10.3205/psm000089
发表时间：
2012
期刊：
Psycho-social medicine
影响因子：
--
作者：
Babitsch B;Gohl D;von Lengerke T
通讯作者：
von Lengerke T
影响因子：
2.8
作者：
Heider D;Matschinger H;Müller H;Saum KU;Quinzler R;Haefeli WE;Wild B;Lehnert T;Brenner H;König HH
通讯作者：
König HH
影响因子：
16.4
作者：
GOLDBERG, LR
通讯作者：
GOLDBERG, LR