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Health Care Utilization Model

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Research paper in focus
Does access to care still affect health care utilization by immigrants? Testing of an empirical explanatory model of health care utilization by Korean American immigrants with high blood pressure (Song, et al., 2010)
Research question
The research was aimed to study the extrapolative capability of the health care utilization model by exploring the interaction of predisposing, enabling, and need factors and their effects on health care utilization of Korean American immigrants (KAIs) with high blood pressure.
Research hypothesis tested in this study
On the basis of Andersons’ behavioural model approach (Anderson, Behavioral model of families’ use of health services , 1968), the initial model framework was developed on the basis of the assumption that individuals’ use of health
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Most of them (93%) were married. On an average, the years of their residence in the US were 16 years (16.2 ± 8.9). When they were enquired about their life priorities, 59.8% of the participants rated health and HBP care as one of their top five life-priority issues. Another query was whether the income earned was enough to sustain life; in response, 35.7% reported a comfortable life, 39.1% had a fair enough living while 25.2% weren’t really comfortable with their earnings. It was sad that 59.1% of them didn’t have any sort of health insurance. While the average figures for relevant medical history stood at 1.2 ± 0.9, those for clinical symptoms were still higher at 8.3 ± 5.4. The Health care utilization scores ranged from 10 to 29, with a mean of 23.4 (SD = 3.4, alpha = 0.67).
Summary of the bivariate findings reported in Table 2
The correlation matrix of predisposing, enabling, and need factors showed that several variables were significantly associated with health care utilization at the bivariate


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