Theoretical and methodological issues in conducting research related to health care utilization among individuals with HIV infection
Theoretical and methodological issues in conducting research related to health care utilization among individuals with HIV infection
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DOI：
10.1089/apc.2006.20.293
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发表时间：
2006-04-01
影响因子：
4.9
通讯作者：
Uphold, CR
中科院分区：
文献类型：
--
作者：
Mkanta, WN;Uphold, CR
虽然经验信息在艾滋病毒感染期间的资源使用是至关重要的，以提高护理质量，在进行研究的资源使用所涉及的问题很少受到关注的医学文献。本文的目的是回顾的理论和方法问题进行研究的艾滋病病毒感染者/艾滋病患者的卫生保健利用模式。利用率的概念定义进行了比较和对比。三个理论框架，安徒生行为模型，健康信念模型，和生物心理社会模型的描述，以说明他们在未来的研究中的适用性。研究设计，测量的考虑，抽样方法，和现有的数据来源的利用进行审查。卫生保健利用研究的建议进行了总结，并强调设计研究和生成数据的重要性，促进患者使用的最佳阵列的服务，包括预防，长期和康复护理的因素进行调查。
Although empirical information on resource use during HIV infection is vital to improving quality of care, the issues involved in conducting research on resource use have received little attention in the medical literature. The purpose of this paper is to review the theoretical and methodological issues of conducting research on health care utilization patterns among persons with HIV/AIDS. Conceptual definitions of utilization are compared and contrasted. Three theoretical frameworks, the Andersen Behavioral Model, the Health Belief Model, and the Biopsychosocial Model are described to illustrate their applicability in future research studies. Research designs, measurement considerations, sampling approaches, and existing data sources on utilization are reviewed. Recommendations for health care utilization research are summarized and highlight the importance of designing studies and generating data for investigation of the factors facilitating patients' use of an optimal array of services including prevention, long-term, and rehabilitation care.