PANEL STUDY OF ELDERLY HEALTH BELIEFS AND BEHAVIOR

拟议的三年小组研究的主要目标是评估 参加预付费综合保健和社会服务的影响 方案对老年人健康服务利用行为的影响 信仰、健康实践意识、预防性健康行为，以及 功能健康状态。使用行为、运行状况的可变性 信仰、健康态度和预防性健康行为的性别、社会 阶级、教育、种族和民族将在考试之前进行检查 介绍服务计划。两组变量，个体 属性和社交网络/情景因素，以 确定它们在多大程度上缓和了全面的 关心。五个阶段的准实验设计将作为框架。 用于数据收集。一个阶段(基线)将在 节目介绍。数据收集将分为四个阶段 在注册该项目后，每个项目间隔六个月。 三个样本，每个样本由155名老年人组成将被要求参加 这项研究。一个样本(测试组)将由计划参与者组成 而其他组(对照组)将由非参赛者组成 他们居住在同一地区，要么参加HMO，要么利用 按服务收费的服务。由于样品在生产过程中的损耗 研究，预计最终的比较将基于 总样本225个(试验组75个，每次比较75个 组。)数据将通过使用在 研究对象的住所。二元和多元统计 技术将被用来评估与初始水平有关的因素 健康信念和预防性健康行为的变异性 确定计划注册对医疗服务的顺序影响 利用、健康信念和态度、对健康活动的认识、 预防性健康行为和功能健康状况。JKW (LISREL)假设检验方法将用于对可能的 对观察到的变化的相互矛盾的随意解释。

The major goal of the proposed three year panel study is to assess the impacts of enrollment in a prepaid, comprehensive health and social service program upon older people's health services utilization behavior, health beliefs, awareness of health practices, preventive health behavior, and functional health status. Variability of utilization behavior, health beliefs, health attitudes, and preventive health behavior by sex, social class, education, and race and ethnic group will be examined prior to the introduction of the service plan. Two groups of variables, individual attributes and social network/situational factors, are included to determine the extent to which they moderate the effects of comprehensive care. A five stage, quasi-experimental design will serve as the framework for data collection. One phase (baseline) will occur prior to the introduction of the program. There will be four stages of data collection each spaced six months apart after enrollment in the program takes place. Three samples, each consisting of 155 older persons will be asked to join the study. One sample (the test group) will consist of program enrollees while the others (the comparison groups) will be comprised of non-enrollees who reside in the same area and either participate in an HMO or utilize services on a fee-for-service basis. Due to sample attrition during the study, it is anticipated that the final comparisons will be based upon a total sample of 225 (75 in the test group and 75 in each comparison group.) Data will be collected via the use of interviews conducted in the study subjects' residences. Bivariate and multivariate statistical techniques will be utilized to assess factors related to initial levels of variability of health beliefs and preventative health behavior and to determine the sequential impacts of program enrollment upon health services utilization, health beliefs and attitudes, awareness of health activities, preventative health behavior, and functional health status. The JKW (LISREL) method of hypothesis-testing will be used to model possible competing casual explanations of observed changes.