Equity in Health Services; Empirical Analysis in Social Policy

Henderson, Virginia; Andersen, Ronald; Kravits, Joanna; Anderson, Odin W.

doi:10.2307/3424024

Cited by 8 publications

(10 citation statements)

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“…Andersen's behavioral model asserts that a population's health services use is determined by predisposing, enabling and need based factors [8,17,20]. 'Predisposing' factors describe a patient's propensity to use healthcare services and include social structure, demographics, attitudes, and beliefs about disease and healthcare services [8].…”

Section: Healthcare Barrier Modelmentioning

confidence: 99%

Barriers to Accessing Surgical Care in Pakistan: Healthcare Barrier Model and Quantitative Systematic Review

Irfan

Spiegel

2012

Journal of Surgical Research

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Section: Healthcare Barrier Modelmentioning

confidence: 99%

Barriers to Accessing Surgical Care in Pakistan: Healthcare Barrier Model and Quantitative Systematic Review

Irfan

Spiegel

2012

Journal of Surgical Research

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“…In the 1970s, Andersen's Phase 2 model was developed with contributions of his collaborators (Aday & Andersen, 1974;Andersen, Kravits, & Anderson, 1975;Andersen & Newman, 1973;Andersen, Smedby, & Anderson, 1970) at the Center for Health Administration Studies, the University of Chicago. This revised model juxtaposes the three categories of determinants in the initial model and adds a new category of determinants called health care system, which comprises health policy, resources, and organization.…”

Section: Andersen's Health Behavior Modelmentioning

confidence: 99%

Explaining Immigrant Health Service Utilization

2016

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Although there is no paucity of theoretical frameworks for explaining people’s health service utilization (HSU), theoretical frameworks designed to account for variations in immigrants’ HSU remain underdeveloped. Building on influential theories or models for explaining HSU and especially Andersen’s widely used health behavior model, this article proposes a theoretical framework for explaining disparities in immigrant HSU. The proposed framework explains disparities in immigrant HSU by the health care need, resources, and predisposing factors of immigrants, and macrostructural/contextual conditions at both the general and immigrant-specific levels, as well as the mediating relationships among some of these factors. It is believed that this new framework can offer a fuller understanding of the determination process of immigrant HSU.

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“…One study evaluated the impact of an educational booklet on women’s knowledge and willingness to participate in randomized breast cancer clinical trials (RCTs), and found that the booklet was ineffective in improving trial enrollment [20]. The second study randomly assigned member institutions of a large cancer cooperative group to standard information vs. an educational intervention which included standard information plus two seminars and educational materials directed at trial investigators through the internet, and no significant difference in enrollment between the study arms [22, 24] was found. A third study [23] of 126 lung cancer patients, randomized to receive an educational video (the same one used in current study) vs. standard care, found a higher enrollment rate in the intervention compared to standard care arm (17.5% vs. 11.1%; P = 0.308) although the differences were not statistically significant.…”

Section: Introductionmentioning

confidence: 99%

An educational video to increase clinical trials enrollment among breast cancer patients

Mood

Gadgeel

et al. 2009

Breast Cancer Res Treat

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Only 3% of women with breast cancer participate in cancer clinical trials nationwide. The lack of awareness about clinical trials is a significant barrier towards clinical trials participation. A study was conducted at a large urban Comprehensive Cancer Center to test (1) the effectiveness of an 18-min educational video on improving attitudes toward clinical trials and trials enrollment among new breast cancer patients seen at the Karmanos Cancer Institute, and (2) to assess racial differences in attitudes regarding clinical trials. Participants were randomized to either the educational intervention prior to their first oncology clinic appointment or to standard care. A baseline and 2-week post-intervention survey to assess attitudes toward clinical trials participation was completed by participants. Of 218 subjects recruited, 196 (55% white vs. 45% African American (AA)) eligible patients were included in the analysis. A small increase in therapeutic clinical trial enrollment was observed in the intervention arm but was not statistically significant (10.4% vs. 6.1%; P = 0.277). The intervention also did not result in a clear improvement in patients’ attitudes toward clinical trials at posttest. However, a lower enrollment rate for the AA women was noted after adjusting for stage (OR = 0.282, P = 0.049). Significantly more negative scores were noted in 3 out of the 5 baseline attitudinal scales for AA women. The educational video did not significantly increase enrollment in breast cancer clinical trials. The findings that AA women had significantly more negative attitudes toward clinical trials than white women may partially explain the racial disparity in enrollment. An educational video remains a simple and cost-effective way to educate patients. Future studies should focus on designing a new educational video to specifically target cultural and attitudinal barriers in the AA population to more effectively change attitudes and increase trial enrollment.

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Equity in Health Services; Empirical Analysis in Social Policy

Cited by 8 publications

References 0 publications

Barriers to Accessing Surgical Care in Pakistan: Healthcare Barrier Model and Quantitative Systematic Review

Barriers to Accessing Surgical Care in Pakistan: Healthcare Barrier Model and Quantitative Systematic Review

Explaining Immigrant Health Service Utilization

An educational video to increase clinical trials enrollment among breast cancer patients

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