Decision Utility Analysis of Approved Hospitals: A Behavioral Model in the Most Competitive Health Service Market

2011 ◽  
Author(s):  
Wang Xiaoling ◽  
Li Weimin
Keyword(s):  
Health Service ◽  
Behavioral Model ◽  
Utility Analysis ◽  
Service Market ◽  
Decision Utility

scholarly journals Predictors of Undiagnosed Diabetes among Middle-Aged and Seniors in China: Application of Andersen’s Behavioral Model

2021 ◽  
Vol 18 (16) ◽  
pp. 8396
Author(s):  
Chaozhou Mou ◽  
Minlan Xu ◽  
Juncheng Lyu
Keyword(s):  
Logistic Regression ◽  
Health Service ◽  
Regression Model ◽  
Roc Curve ◽  
Behavioral Model ◽  
Undiagnosed Diabetes ◽  
Multiple Logistic Regression ◽  
Andersen’S Behavioral Model ◽  
Andersen Model ◽  
Geographical Regions

Undiagnosed diabetes is a threat to public health. This study aims to identify potential variables related to undiagnosed diabetes using Andersen’s behavioral model. Baseline data including blood test data from the China Health and Retirement Longitudinal Study (CHARLS) were adopted. First, we constructed health service related variables based on Andersen model. Second, univariate analysis and multiple logistic regression were used to analyze the relations of variables to undiagnosed diabetes. The strength of relationships was presented by odds ratios (ORs) and 95% confidence intervals (CIs). Finally, the prediction of multiple logistic regression model was assessed using the Receiver Operating Characteristic (ROC) curve and the area under the ROC curve (AUC). According to diagnosis standards, 1234 respondents had diabetes, among which 560 were undiagnosed and 674 were previously diagnosed. Further analysis showed that the following variables were significantly associated with undiagnosed diabetes: age as the predisposing factor; medical insurance, residential places and geographical regions as enabling factors; having other chronic diseases and self-perceived health status as need factors. Moreover, the prediction of regression model was assessed well in the form of ROC and AUC. Andersen model provided a theoretical framework for detecting variables of health service utilization, which may not only explain the undiagnosed reasons but also provide clues for policy-makers to balance health services among diverse social groups in China.

Correlates of community rehabilitation service utilization among persons with psychiatric disabilities

2021 ◽  
pp. 002076402110361
Author(s):  
Li-yu Song
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Psychiatric Rehabilitation ◽  
Behavioral Model ◽  
Psychiatric Disabilities ◽  
Rehabilitation Service ◽  
Enabling Factors ◽  
Independent Variables ◽  
Community Psychiatric ◽  
Persons With Psychiatric Disabilities

Background: The use community psychiatric rehabilitation (CPR) service could facilitate community tenure, autonomy, and recovery among persons with psychiatric disabilities. Nevertheless, based on existing scientific evidence, the conformance rate with the treatment recommendations was modest and the existing services are underutilized in Taiwan. Aims: This study examined the correlates of CPR service utilization based on the Behavioral Model of Health Service Utilization. Especially, the effects of enabling factors were explored. Methods: Five hundred and ninety-two participants from 32 community psychiatric rehabilitation centers in Taiwan completed the questionnaire. There were three groups of independent variables: predisposing, enabling, and need factors. Multiple regression analysis with a hierarchical method of entry was performed. Results: The hypothesized model was significant. Eight independent variables in the model explained 29.3% of the variances in the service utilization. Three enabling factors were significant after controlling for the effects of other factors. The most important correlate was professional relationships followed by family support and welfare subsidy. Conclusions: The findings support that factors associated with CPR service utilization need to be examined separately from general mental health service. CPR program design and service delivery should consider the three most important enabling factors and the extent of service utilization could be enhanced.

scholarly journals PRINCIPIOS CONSTRUCTIVISTAS PARA LA ELABORACIÓN DE UNA MEDIACIÓN PEDAGÓGICA APLICADA A PACIENTES CON ENFERMEDAD CARDIOVASCULAR.

2015 ◽  
Vol 6 (1) ◽  
pp. 59-75
Author(s):  
Jorge Salas-Cabrera
Keyword(s):  
Social Support ◽  
Health Service ◽  
Physical Exercise ◽  
Cardiac Rehabilitation ◽  
Eating Habits ◽  
Behavioral Model ◽  
Short Term ◽  
Educational Approach ◽  
Apoyo Social ◽  
Constructivist Model

Durante muchos años la rehabilitación cardiaca se ha convertido en un servicio de salud que facilita la recuperación de los pacientes con problemas cardiovasculares. Este servicio se encarga de estructurar un programa de ejercicio físico que involucra aspectos educativos de la forma saludable de alimentarse de cada persona, el apoyo social que se enfoca específicamente en la familia y amigos cercanos, el tiempo conveniente para mantener relaciones sexuales con su pareja y el control de situaciones que le generen estrés, depresión o ansiedad. Sin embargo, el abordaje que se realiza desde lo educativo se ha trabajado bajo el modelo conductual; el mismo provoca modificaciones en los hábitos de vida saludables a corto plazo y solo mientras se está en contacto permanente con la persona especialista. El propósito de este estudio es recopilar una serie de principios del modelo constructivista como herramientas para la elaboración de una mediación pedagógica aplicada a pacientes con enfermedad cardiovascular. AbstractFor many years, cardiac rehabilitation has become a health service which facilitates recovery of patients with cardiovascular problems, this service is responsible for structuring a program of physical exercise that also involves educational aspects including eating habits, social support, sexual and psycho-emotional issues, However, the educational approach has been delivered using the behavioral model,  which helps with short term changes in lifestyle habits and only while in constant contact with the specialist. The purpose of this study was to compile a set of principles of the constructivist model as tools for the development of a pedagogical mediation applied to patients with cardiovascular disease.Keywords: constructivism, cardiac rehabilitation, cardiac patients, education, principles

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