Health services accessibility among Spanish elderly
Health services accessibility among Spanish elderly
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DOI：
10.1016/s0277-9536(99)00247-6
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发表时间：
2000-01-01
影响因子：
5.4
通讯作者：
Rojo, F
中科院分区：
文献类型：
--
作者：
Fernández-Mayoralas, G;Rodríguez, V;Rojo, F
这篇论文的目的是找出最能解释西班牙65岁及以上的人使用保健服务的变量。数据来自1993年西班牙全国健康调查（ENSE 93）。概念框架是Andersen提出的模型，他认为利用率是使用服务的倾向、使用服务的能力和需求的函数。进行了双变量和多变量分析（SPSS-X判别程序）来定义最好区分用户和非用户的预测因子。每种健康服务的使用都由一组不同的变量来解释。需求变量在预测与康复过程（医疗咨询、急诊和住院）密切相关的非酌情服务的使用情况方面发挥更重要的作用。在解释牙科服务的使用时，倾向变量和使能变量更相关，这表明这些可自由支配的服务存在一定程度的不平等。1999爱思唯尔科学有限公司版权所有。
The paper aims to identify the variables that best explain the use of health services by people aged 65 and over in Spain. The data comes from the 1993 Spanish National Health Survey (ENSE 93). The conceptual framework is the model proposed by Andersen, who suggests that utilisation is a function of predisposition to use the services, the ability to use them and of need. A bivariate and multivariate analysis (SPSS-X Discriminant Procedure)is conducted to define the predictors that best discriminate users and non-users. The use of each health service is explained by a different set of variables. The need variables play a more important role in predicting the use of non-discretionary services that are more closely related to healing processes (medical consultations, emergencies and hospitalisation). The predisposing and enabling variables are more relevant in explaining the use of dental services, indicating a certain degree of inequity of these discretionary services. (C) 1999 Elsevier Science Ltd. All rights reserved.