Applying the Gelberg-Andersen Behavioral Model for Vulnerable Populations to health services utilization in homeless women
Applying the Gelberg-Andersen Behavioral Model for Vulnerable Populations to health services utilization in homeless women
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DOI：
10.1177/1359105307080612
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发表时间：
2007-09-01
影响因子：
3.2
通讯作者：
Gelberg, Lillian
中科院分区：
文献类型：
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作者：
Stein, Judith A.;Andersen, Ronald;Gelberg, Lillian
我们应用Gelberg-Andersen弱势群体行为模型来预测875名无家可归的美国妇女的卫生服务利用率（HSU）。结构模型评估了易感因素（人口统计、心理困扰、酒精/毒品问题、无家可归严重程度）、使能因素（健康保险、护理来源、障碍）和需求变量（疾病）对HSU的影响（预防性护理、门诊就诊、住院）。无家可归的严重性预示着疾病、障碍和更少的保险。焦虑预示着更多的障碍、疾病和更少的门诊HSU。毒品问题预示着住院。障碍预示着更多的疾病和更少的门诊HSU。白人妇女的健康和无家可归指标更差。更好的住房、医疗和保险将鼓励适当的HSU。
We applied the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict health services utilization (HSU) in 875 homeless US women. Structural models assessed the impact of predisposing (demographics, psychological distress, alcohol/drug problems, homelessness severity), enabling (health insurance, source of care, barriers) and need (illness) variables on HSU (preventive care, outpatient visits, hospitalizations). Homelessness severity predicted illness, barriers and less insurance. Distress predicted more barriers, illness and less outpatient HSU. Drug problems predicted hospitalizations. Barriers predicted more illness and less outpatient HSU. Health and homelessness indicators were worse for White women. Better housing, access to care and insurance would encourage appropriate HSU.