The Andersen–Newman Behavioral Model of Health Service Use as a conceptual basis for understanding patient behavior within the patient–physician dyad: The influence of trust on adherence to statins in older people living with HIV and cardiovascular disease

Petrovic, Kimberly; Blank, Thomas

doi:10.1080/23311908.2015.1038894

Cited by 16 publications

(12 citation statements)

References 45 publications

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“…Potential explanations can, however, be explored using a qualitative study design, supported by a theoretical framework. Andersen’s Behavioural Model (BM) of Health Services Use [ 23 , 24 ] is an established conceptual model designed to understand and explain why people use health care services [ 25 ]. It incorporates individual, community and wider health system determinants [ 25 , 26 ], so facilitating the analysis of both personal and contextual factors relating to health service utilisation.…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

Parkman

Neale

Day

et al. 2017

BMC Health Serv Res

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BackgroundUnderstanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen’s Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances.MethodsQualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months). We recruited participants from 6 EDs in London, United Kingdom. Data on socio-demographic characteristics, substance use, contact with specialist addiction and other health services, most recent ED attendance, and previous ED attendances were analysed.ResultsParticipants reported long-standing health problems, almost all were unemployed, and many had limited education and unstable housing. Most held positive health beliefs about EDs, despite some negative experiences. They reported limited community resources: poor social support, inaccessible primary care services, dislike or lack of information about specialist addiction services, and difficulties travelling to services. In contrast, EDs offered immediate, sympathetic care and free transport by ambulance. Participants’ perceived need for care was high, with physical injury and pain being the main reasons for ED attendance.ConclusionsPush’ and ‘pull’ factors contributed to repeated ED use. ‘Push’ factors included individual-level problems and wider community service failings. ‘Pull’ factors included positive experiences of, and beliefs about, ED care. Community services need to better engage and support people with complex drinking problems, whilst ED staff can be more effective in referring patients to community-based services.

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Section: Introductionmentioning

confidence: 99%

Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

Parkman

Neale

Day

et al. 2017

BMC Health Serv Res

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“…Explanatory modeling suggests that patient-provider interactions directly and positively impact patient satisfaction, medication adherence, and quality of life [ 27 ]. Furthermore, conceptual models highlighted the important of dyadic trust between patients and providers in facilitating adherence to non-HIV specific medications among people with HIV [ 28 ]. While research on patient-provider relationships among older adults with HIV is lacking, studies of older adults enrolled in Medicare have demonstrated that higher quality patient-provider relationships are associated with patients being more active in healthcare decisions [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Examining the Impact of the Golden Compass Clinical Care Program for Older People with HIV: A Qualitative Study

et al. 2021

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The combined burden of geriatric conditions, comorbidities, and HIV requires a model of HIV care that offers a comprehensive clinical approach with people 50 years or older with HIV. Golden Compass is an outpatient, multidisciplinary HIV-geriatrics program with an onsite HIV geriatrician, cardiologist, pharmacist, and social worker, offering specialist referrals, care navigation, and classes on improving functional status and cognition. Participants (13 patients and 11 primary care providers) were recruited using a non-probability sampling method to participate in semi-structured interviews on the perceived impact of Golden Compass on care delivered to older people with HIV. Interviews were transcribed verbatim and framework analysis used to analyze the transcripts. The perceived impacts of Golden Compass by patients and providers were organized by the Compass points (Northern: Heart and Mind, Eastern: Bones and Strength, Southern: Navigation and Network, Western: Dental, Hearing, and Vision). Overall, patients valued the focus on functional health and whole-person care, leading to greater trust in the ability of providers. Providers gained new skills through the geriatrics, cardiology and/or pharmacist consultations. The HIV-geriatrics specialty approach of Golden Compass improved functional ability and quality of life for older adults with HIV. Few integrated care programs for older people with HIV have been evaluated. This study adds to the limited literature demonstrating high patient and provider satisfaction with a HIV-care model that incorporated principles of geriatric medicine emphasizing a comprehensive approach to sustaining functional ability and improving quality of life.

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“…The HSB is a model of health services developed in the 1960s by Ronald M. Andersen (Andersen 1995; Petrovic & Blank 2015), and it is used to explain healthcare utilisation. 14 , 17 , 18 The model has gone through a series of modifications and is used extensively in health service research in assessing utilisation. Finally, the multinomial logistic regression model was used to establish an association between HSB and predisposing, and enabling factors as proposed by Andersen’s behavioural model of health services.…”

Section: Methodsmentioning

confidence: 99%

Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana

Opare-Addo

Osei

Buabeng

et al. 2020

African Journal of Primary Health Care & Family Medicine

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Background: Non-communicable diseases (NCDs) remain a global burden and is projected to increase due to aging, rapid urbanization and unhealthy lifestyles. The study was conducted to determine the prevalence of hypertension and diabetes in rural districts in the Ashanti region of Ghana and to determine factors that influence utilization of health care services.Setting: Offinso North, Amansie West, Ahafo Ano South, and Asante Akim South.Methods: A population based prospective cross-sectional study comprising of adults aged 18 years and above was carried out from January 2016 to March 2016. A multistage sampling method was employed to select four rural districts in the Ashanti region of Ghana. A structured questionnaire was used to collect primary data from respondents.Results: A total of 684 participants were recruited in the study. The prevalence of hypertension and diabetes was found to be 16.23% and 5.41% respectively. The prevalence of diabetes and hypertension comorbidity was 1.61%. The public hospital was the most preferred choice of facility (52.56%) for patients with NCDs.Educational level significantly decreased the likelihood of seeking healthcare in OTCMS and Health Centre to Hospitals (RRR = 0.1, 95% CI = 0.011–0.917, p = 0.042) and (RRR = 0.4, 95% CI = 0.198-0.679, p = 0.001) respectively.Conclusion: The prevalence of self -reported hypertension and diabetes observed in this study was relatively lower for hypertension and higher for diabetes as compared to other studies in Ghana. The public hospital is the most preferred choice of health facilities for patients with hypertension and diabetes in the rural districts.

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The Andersen–Newman Behavioral Model of Health Service Use as a conceptual basis for understanding patient behavior within the patient–physician dyad: The influence of trust on adherence to statins in older people living with HIV and cardiovascular disease

Cited by 16 publications

References 45 publications

Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons

Examining the Impact of the Golden Compass Clinical Care Program for Older People with HIV: A Qualitative Study

Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana

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