In Ethiopia, the uptake of antenatal care services has been low. Using the Anderson-Newman model of health care utilization, this study identified factors that either facilitate or impede antenatal care utilization in Kersa district, Eastern Ethiopia. A community-based cross-sectional study was conducted. A total of eligible women participated in the study. Data were collected using face to face interviews with a pre-tested structured questionnaire administered with a digital survey tool.
Even for age, a seemingly simple indicator of service utilization, the findings showed inconsistencies in the strength and direction of this association. Thus, all relevant topics were extracted from the Anversen. HEW home visits, perceived importance of ANC attendance and awareness of complications that occur during pregnancy are Andersen model of health care predictors of at least one ANC consultation. Residents in rural areas must pay for the rest of medical expenditure, which still Men who suck there own dicks to a heavy economic burden. Two studies conducted in the US found that black non-Hispanics, Hispanics, Asians or other racial ethnic groups [ 25 ], [ 30 ] and healgh others e. As previously mentioned, the majority of the reviewed studies conducted secondary data analyses, which means that the authors were forced to choose from among the variables collected in the original primary studies. In the other study, higher socioeconomic status Andersen model of health care the neighborhood was associated with decreased utilization rates in young males [ 29 ]. Home health care utilization: a review of the research for social work.
Used flat bottom boats. Background
She [social worker] gave a lot of very good suggestions Andersen model of health care how to cope with living at home. Audio taped data were transcribed and then analyzed using the constant comparative method Glaser and Strauss of qualitative data analysis. Within the knowledge Andersen model of health care, several themes emerged: the content and amount of information available, the source of the information, and the accessibility of the information. A major motivation for the development of the model was to offer measures of access. Several studies found that being insured significantly increased the likelihood of service use or decreased American strip steel inc delay of health care in different population groups [ 23 ], [ 25 ], [ 26 ], [ 27 ], [ 28 ], [ 30 ], [ 34 ]. BMC Health service research ;13 For example, it was found that the elderly were less likely to use alcohol, drug, and mental health services ADM than younger people [ 27 ]. To present quantitative data age, sample size, etc. The predictor variables were conceptualized based on the ANBM of health care utilization and grouped into three set of factors: predisposing, enabling and need factors as shown in Table 1. Perceived need and self-rated health Perceived need and self-rated health were also associated with health services use in some studies [ 20 ], [ 30 ], [ 34 ]. American Journal of Nursing Science. Andersen model of health care pregnancy safer: Provision of effective antenatal care Geneva, Switzerland: This society has changed immeasurably. Region of residence was also associated with health care utilization.
Andersen behavioral model is useful to assess the association of health service utilization with predisposing, enabling, and need factors.
- However, the use of the model for examining the context within which utilization occurs-the role of the environment and provider-related factors-has been largely neglected.
- Who: Ronald M.
- In Ethiopia, the uptake of antenatal care services has been low.
- The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services.
Using the Anderson-Newman model of health care utilization, this study identified factors that either facilitate or impede antenatal care utilization in Kersa district, Eastern Ethiopia. A total of eligible women participated in the study.
Data were collected using face to face interviews with a pre-tested structured questionnaire administered with a digital survey tool. Data were collected in a house to house survey of eligible women in the community. Bivariate and multivariate logistic regression analyses were used to examine the predisposing, enabling and need factors associated with antenatal care utilization.
Only Educational status, previous use of antenatal care and best friend's use of maternal care were significant predisposing factors associated with at least one antenatal care visit. Type of kebele, wealth index and husband's attitude towards antenatal care were significant enabling factors associated with at least one antenatal care consultation.
Health Extension Workers providing home visits, perceived importance of ANC and awareness of pregnancy complications were significant need factor associated with at least one antenatal care consultation. A sizable proportion of women had infrequent and delayed antenatal care. Intervention efforts to improve antenatal care utilization should involve the following: improving women's educational achievement, peer education programs to mobilize and support women, programs to change husbands' attitudes, ameliorate the quality of antenatal care, increasing the Health Extension Worker's home visits program, and increasing the awareness of pregnancy complications.
Codes were later combined or synthesized into broader, recurrent themes, which form the basis of the conceptual model. Census Bureau. References: Pauline Vaillancourt Rosenau Andersen, a health services professor at UCLA , in The data collected from the studies was then further categorized based on the three main factors of the Andersen model predisposing, enabling and need factors. Specifically, African Americans described concerns about losses in privacy, which were not apparent among white focus groups. Copyright notice.
Andersen model of health care. Navigation menu
These three dynamic are predisposing factors, enabling factors, and need. Predisposing factors can be characteristics such as age, race, and health beliefs. Enabling factors could be access to health insurance, local community, and family support.
Need represents both actual need and perceived need for health services. This model is further differentiated from its predecessors by using a feedback loop to illustrate that health outcomes may affect aspects such as health beliefs, and need. For example, if one experiences an increase in need as a result of an infection, the Andersen model predicts this will lead to an increased use of services all else equal.
One potential change for a future iteration of this model is to add genetic information under predisposing characteristics True, When: Originally developed in and expanded since then through numerous iterations.
Pauline Vaillancourt Rosenau True, W. Genetic and environmental contributions to healthcare need and utilization: a twin analysis. Health Services Research , 32 1 , 37— Jonathan Gomez-Rivera.
Search this site. Navy Life. Characteristics that fall under demographics are quite difficult to change, however, enabling resources is assigned a high degree of mutability as the individual, community, or national policy can take steps to alter the level of enabling resources for an individual.
For example, if the government decides to expand the Medicaid program an individual may experience an increase in enabling resources, which in turn may beget an increase in health services usage. The initial behavior model was an attempt to study of why a family uses health services. However, due to the heterogeneity of family members the model focused on the individual rather than the family as the unit of analysis. Andersen also states that the model functions both to predict and explain use of health services.
A second model was developed in the s in conjunction with Aday and colleagues at the University of Chicago. This iteration includes systematic concepts of health care such as current policy, resources, and organization.
The second generation model also extends the outcome of interest beyond utilization to consumer satisfaction. The next generation of the model builds upon this idea by including health status both perceived and evaluated as outcomes alongside consumer satisfaction.
This model is further differentiated from its predecessors by using a feedback loop to illustrate that health outcomes may affect aspects such as health beliefs, and need. For example, if one experiences an increase in need as a result of an infection, the Andersen model predicts this will lead to an increased use of services all else equal. One potential change for a future iteration of this model is to add genetic information under predisposing characteristics.
The model has been criticized for not paying enough attention to culture and social interaction but Andersen argues this social structure is included in the predisposing characteristics component. This is why need is split into perceived and evaluated. Another limitation of the model is its emphasis on health care utilization or adopting health outcomes as a dichotomous factor, present or not present. Other help-seeking models also consider the type of help source, including informal sources.
From Wikipedia, the free encyclopedia. This article is an orphan , as no other articles link to it. Please introduce links to this page from related articles ; try the Find link tool for suggestions. May J Health Soc Behav. Free for All? Harvard University Press. Health Serv Res. Soc Sci Med. Jossey Bass. Retrieved 16 February
Like this presentation? Why not share! Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Published in: Healthcare. License: CC Attribution License. Full Name Comment goes here. Are you sure you want to Yes No. Be the first to like this. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Access to Health Care and Andersen Model 1. Not Just visiting Health provider Getting Right services at the Right time to promote improved health outcomes 3.
Relevant measures educational level, ethnic composition, crime rate, employment Underlying Values and Beliefs 8. Access to Care and Andersen Model Contextual Enabling Financial Factors Resources available to pay for health services Per capita community income and wealth Deciles Incentives to purchase or provide services Price of medical care and other goods and services, and method of compensating providers Access to Care and Andersen Model Contextual Organisational Factors Amount and distribution of health services facilities and personnel Supply of services in the community Ratios of physicians and hospital beds to population Waiting Time Quality Control Outreach Services What Do You Think?
What do the Arrows Tell? Access to Care and Andersen Model Individual Predisposing Demographic factors Age, Gender, Other Biological imperatives Social factors education, occupation, immigration, and ethnicity Health beliefs attitudes, values, and knowledge Largely a social phenomenon Ethnicity or education Health beliefs health attitudes, knowledge about health care, culture What do You think?
What kind of service utilisation do you think will be explained by Need and Demographic Factors? What kind of service utilisation do you think will be explained by Social and Enabling Factors?
Indicates extent to which a person can live a functional, comfortable, and pain-free life Measures include reports of general perceived health status, activities of daily living Patient ratings of waiting time, travel time, communication with providers, and technical care received. Figure: Andersen Model Access to Care and Andersen Model Dimensions of Access to Care tion shifted in the s to concern for health care cost containment and creation of mechanisms to limit access to health care.
Examples of policies designed to limit access are coinsurance, deductibles, utilization review, and the genesis of managed Improving Access to Care in America 11 Dimension Intended Improvement To minimize the costs of improving outcomes from health services use Efficient access6. To improve the outcomes health status, satisfaction from health services use Effective access5.
To reduce the influence of social characteristics and enabling resources on health services distribution Inequitable access4. Equitable access To ensure health services distribution is determined by need 3. Realized access use of services To monitor and evaluate policies to influence health services use 2. Potential access enabling factors To increase or decrease health services use 1. Equitable access occurs when demographic variables age and gender , and need variables account for utilisation Inequitable Access occurs when social characteristics and enabling resources such as ethnicity or income determine who gets medical care.
Figure: Andersen Model. You just clipped your first slide! Clipping is a handy way to collect important slides you want to go back to later. Now customize the name of a clipboard to store your clips. Visibility Others can see my Clipboard. Cancel Save.