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 老年人卫生服务利用行为、健康 信仰，健康实践意识，预防性健康行为，以及 功能健康状况。 利用行为的变异性，健康 信仰，健康态度和预防性健康行为，按性别，社会 阶级，教育，种族和民族群体将被审查之前， 介绍服务计划。 两组变量，个体 属性和社会网络/情境因素，包括 确定它们在多大程度上缓和了综合影响 在乎 五阶段，准实验设计将作为框架 用于数据收集。 一个阶段（基线）将在 方案的介绍。 将有四个阶段的数据收集 每一个间隔六个月后，登记在该计划发生。 将邀请三个样本，每个样本由155名老年人组成， 书房 一个样本（测试组）将由计划注册者组成 而其他人（对照组）将由非登记者组成 谁住在同一地区，要么参加HMO或利用 在收费服务的基础上提供服务。 由于样品磨损， 研究，预计最终的比较将基于一个 总共225个样本（试验组75个，每个比较组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 技术将用于评估与初始水平相关的因素， 健康信念和预防性健康行为的可变性， 确定计划注册对卫生服务的顺序影响 利用率、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性健康状况。 关于JKW （LISREL）假设检验方法将用于模拟可能的 对观察到的变化的相互竞争的偶然解释。

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.