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117 Results Found

  • Article
  • Open Access
1 Citations
2,765 Views
15 Pages

2 February 2024

We obtain the upper and lower bounds for the ruin probability in the Sparre–Andersen model. These bounds are established under various conditions: when the adjustment coefficient exists, when it does not exist, and when the interarrival distrib...

  • Protocol
  • Open Access
5 Citations
3,051 Views
6 Pages

10 September 2020

Introduction: Drawing on the Andersen model, there is a large body of evidence examining the determinants of health care use, such as doctor visits or hospitalization. However, far less is known about the determinants of dental service use, explicitl...

  • Systematic Review
  • Open Access
48 Citations
5,641 Views
28 Pages

Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databa...

  • Article
  • Open Access
4 Citations
4,734 Views
15 Pages

3 February 2016

We consider a discrete-time dependent Sparre Andersen risk model which incorporates multiple threshold levels characterizing an insurer’s minimal capital requirement, dividend paying situations, and external financial activities. We focus on the deve...

  • Article
  • Open Access
3,267 Views
21 Pages

The role of the food environment in shaping nutrition and health has gained substantial attention from policymakers, public health researchers, and advocacy groups. To promote equities in food access and nutrition outcomes, understanding factors link...

  • Article
  • Open Access
1 Citations
3,475 Views
12 Pages

Using the Expanded Andersen Model to Determine Factors Associated with Mexican Adolescents’ Utilization of Dental Services

  • Daniela Galicia-Diez Barroso,
  • Luis David Abeijón-Malvaez,
  • Gloria Alejandra Moreno Altamirano,
  • María Esther Josefina Irigoyen-Camacho,
  • Tracy L. Finlayson and
  • Socorro Aída Borges-Yáñez

13 December 2023

Many factors contribute as facilitators of or barriers to adolescents’ use of dental services. Guided by the expanded Andersen model for dental service utilization, the aim of this study was to identify factors associated with the use of dental...

  • Article
  • Open Access
12 Citations
3,163 Views
9 Pages

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 Longitu...

  • Article
  • Open Access
9 Citations
2,913 Views
12 Pages

23 February 2023

People with disabilities often have poorer health than the general population, and many do not participate in preventive care. This study aimed to identify the health screening participation rates of such individuals and investigate why they did not...

  • Article
  • Open Access
32 Citations
5,495 Views
14 Pages

Background: The purpose of this study is to evaluate the status quo and factors that influence the preferences of the elderly for the combination of medical care and pension (CMCP) in long-term care (LTC) facilities and to provide an evidence-based b...

  • Article
  • Open Access
1 Citations
2,975 Views
16 Pages

In light of the increased demand for long-term care services in China, there is an ongoing discussion on what factors contribute to older adults’ intended use of long-term care services. This study empirically recruited 239 community-dwelling o...

  • Article
  • Open Access
1 Citations
2,004 Views
17 Pages

Initiation of Antenatal Care Among Pregnant Women in Saudi Arabia: An Application of Andersen’s Behavioral Model Using a Cross-Sectional Study

  • Ajiad Alhazmi,
  • Hassan N. Moafa,
  • Seham A. Habeeb,
  • Reham Bakhsh,
  • Manal Almalki,
  • Jobran Moshi,
  • Ali Saad R. Alsubaie,
  • Hammad Ali Fadlalmola,
  • Mohammed Ali Qassem Ghazwani and
  • Abdulrhman Mohammad Salim

26 September 2025

Background/Objectives: Timely initiation of antenatal care (ANC) services is crucial for ensuring maternal and fetal well-being. Despite the importance of ANC, research regarding its initiation remains limited in the Jazan region of Saudi Arabia, an...

  • Article
  • Open Access
1,731 Views
9 Pages

8 October 2024

COVID-19 vaccination is a critical public health measure to control the pandemic, but disparities in vaccination uptake remain a concern. This study investigates the determinants of COVID-19 vaccination among Korean adults using the Andersen model. D...

  • Systematic Review
  • Open Access
25 Citations
7,309 Views
14 Pages

12 October 2021

The aim was to give an overview of longitudinal observational studies investigating the determinants of healthcare use explicitly using the Andersen model. To this end, three electronic databases (Medline, PsycINFO and CINAHL) were searched (and an a...

  • Article
  • Open Access
3 Citations
2,357 Views
20 Pages

Determinants of Oral Health Outcomes and Quality of Life in Diabetic Patients from Western Romania: A Behavioral Model Approach

  • Iulia Alexa,
  • Ramona Dumitrescu,
  • Doina Chioran,
  • Octavia Balean,
  • Vanessa Bolchis,
  • Ruxandra Sava-Rosianu,
  • Simona Popescu,
  • Atena Galuscan and
  • Daniela Jumanca

30 May 2025

Background/Objectives: Oral health and diabetes are closely linked through shared inflammatory, behavioral, and socioeconomic factors. This study examined the determinants of oral health outcomes and oral-health-related quality of life (OHRQoL) in Ro...

  • Article
  • Open Access
19 Citations
4,065 Views
11 Pages

The present study aimed to assess dementia caregivers’ reports of the prevalence and correlates of forgone care regarding visits to a general practitioner (GP) and to a specialist during the COVID-19 lockdown in Israel, using Andersen’s Behavioral Mo...

  • Article
  • Open Access
6 Citations
3,820 Views
11 Pages

Unmet Medical Needs of Patients with Benign Prostate Enlargement

  • Munjae Lee,
  • Sewon Park,
  • Mankyu Choi and
  • Kyu-Sung Lee

25 March 2020

This study aimed to analyze the factors affecting the unmet medical needs of patients with benign prostate enlargement (BPE) based on Andersen’s behavioral model. The data were taken from the 2009–2016 Korea Health Panel Study and 3003 pa...

  • Article
  • Open Access
1 Citations
2,082 Views
11 Pages

31 January 2025

Background: Men’s health behaviors influence health outcomes but remain understudied in high-risk occupational groups. This study examines determinants of health behaviors among public safety personnel using Andersen’s Behavioral Model. M...

  • Article
  • Open Access
7 Citations
2,791 Views
13 Pages

Functional dyspepsia (FD) significantly reduces quality of life, and Korean medicine treatment, including herbal medicine, is frequently used in the clinical setting. We aimed to analyze the factors affecting Korean medicine health care (KMHC) use fo...

  • Article
  • Open Access
18 Citations
3,926 Views
15 Pages

We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based c...

  • Article
  • Open Access
1,162 Views
16 Pages

22 October 2025

Background/Objectives: Korean medicine healthcare (KMHC), a form of traditional medicine including acupuncture and herbal medicine, is widely utilized by patients with intervertebral disc disease (IVDD). With the increasing use of real-world evidence...

  • Article
  • Open Access
1,082 Views
21 Pages

This study investigates the decision-making process behind moving into a senior living community. Prospective residents were asked to identify the most important qualities of a happy, healthy, and engaged life, so called successful aging. Our effort...

  • Feature Paper
  • Article
  • Open Access
3 Citations
4,692 Views
14 Pages

14 October 2019

We consider the Sparre Andersen risk process with interclaim times that belong to the class of distributions with rational Laplace transform. We construct error bounds for the ruin probability based on the Pollaczek–Khintchine formula, and deve...

  • Article
  • Open Access
1,584 Views
21 Pages

Geographical Debate on COVID-19’s Impact on Healthcare Access and Utilization in Vulnerable Malaysian Communities

  • Lay Im Lim,
  • Mohammad Javad Maghsoodi Tilaki,
  • Sharifah R. S. Dawood and
  • Su Jinxia

20 June 2025

The COVID-19 pandemic has amplified concerns about healthcare access, particularly among vulnerable populations. This study extends Andersen’s behavioral model to investigate how fear of high-risk locations, alongside predisposing, enabling, an...

  • Article
  • Open Access
9 Citations
3,180 Views
14 Pages

Occupational physicians (OPs) are key figures for advising employees and employers about prevention and health at the workplace. However, knowledge of their views on participation in health promotion measures is sparse. This qualitative study aims to...

  • Article
  • Open Access
1 Citations
1,851 Views
16 Pages

Purpose: Immigrants’ low socioeconomic status is consistently linked to reduced healthcare utilization. This study extends the Andersen Behavioral Model by incorporating asset ownership as an enabling factor and examining its role across immigr...

  • Article
  • Open Access
1 Citations
3,238 Views
21 Pages

22 May 2020

This paper examines the impact of the parameters of the distribution of the time at which a bank’s client defaults on their obligated payments, on the Lundberg adjustment coefficient, the upper and lower bounds of the ruin probability. We study...

  • Article
  • Open Access
4 Citations
2,081 Views
9 Pages

The goal of this study was to investigate the determinants of outpatient physician visits in Germany during the later stages of the COVID-19 pandemic. Cross-sectional data were used from the general adult population in Germany with n = 3091 individua...

  • Article
  • Open Access
4 Citations
3,719 Views
11 Pages

Taiwan has been an aged society since March 2018, and the elderly population suffer from multiple comorbidities and long duration of disability. Therefore, the service of discharge planning of long-term care 2.0 is an important stage before patients...

  • Article
  • Open Access
1 Citations
2,846 Views
12 Pages

18 January 2025

Background: This study aimed to elucidate the determinants of healthcare utilization in South Korea’s dual healthcare system, encompassing both Western medicine and Korean medicine, through the Andersen Model. An integrative non-recursive path...

  • Article
  • Open Access
10 Citations
3,943 Views
10 Pages

The factors related to oral healthcare service utilization (OHSU) among Korean adults aged 25–79 years were assessed using the Andersen model with the sixth Korean National Health and Nutrition Examination Survey data. The study included 12,937...

  • Article
  • Open Access
1 Citations
2,167 Views
11 Pages

To ensure that older adults (aged 65 years or older) can experience a healthy life, they should use medical services that are appropriate, both quantitatively and qualitatively. This study aimed to identify the factors affecting outpatient service us...

  • Feature Paper
  • Article
  • Open Access
18 Citations
5,355 Views
15 Pages

In response to the irreversible aging trend, the Taiwan government has promoted the Long-Term Care (LTC) policy 1.0 launched in 2007 and the LTC policy 2.0 reform since 2016. This study aimed to explore the utilization of formal home and community-ba...

  • Article
  • Open Access
86 Citations
12,144 Views
28 Pages

Predictors of Healthcare Service Utilization for Mental Health Reasons

  • Marie-Josée Fleury,
  • André Ngamini Ngui,
  • Jean-Marie Bamvita,
  • Guy Grenier and
  • Jean Caron

This study was designed to identify: (1) predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2) correlates associated with...

  • Article
  • Open Access
6 Citations
2,815 Views
18 Pages

Background: Cystic fibrosis is a hereditary disease, which causes the accumulation of dense mucus in the lungs accompanied by frequent local inflammation. The non-steroidal anti-inflammatory drug ibuprofen (IBU) and the mucolytic mannitol (MAN) can t...

  • Article
  • Open Access
23 Citations
5,321 Views
16 Pages

Factors Associated with Breast Cancer Screening Adherence among Church-Going African American Women

  • Pooja Agrawal,
  • Tzuan A. Chen,
  • Lorna H. McNeill,
  • Chiara Acquati,
  • Shahnjayla K. Connors,
  • Vijay Nitturi,
  • Angelica S. Robinson,
  • Isabel Martinez Leal and
  • Lorraine R. Reitzel

Relative to White women, African American/Black women are at an increased risk of breast cancer mortality. Early detection of breast cancer through mammography screening can mitigate mortality risks; however, screening rates are not ideal. Consequent...

  • Article
  • Open Access
24 Citations
7,409 Views
17 Pages

Purpose: As an important measure to alleviate long-term care (LTC) costs for the disabled due to the aging of the population, long-term care insurance (LTCI) system has been paid more attention in China. In addition to the government-led public LTCI...

  • Review
  • Open Access
5 Citations
5,113 Views
19 Pages

This scoping review aimed to identify predisposing, enabling, and need factors associated with the use of mental health services, including psychotropic medications, among children in out-of-home care in the United States. We searched the PsycInfo, S...

  • Article
  • Open Access
3 Citations
2,620 Views
11 Pages

(1) The aim of this study was to identify the association between post-materialism and health care use (in terms of the frequency of doctor visits and the reason for doctor visits). (2) Data were taken from the German General Social Survey (a represe...

  • Article
  • Open Access
4 Citations
2,316 Views
27 Pages

Background/Objectives: Dry powder inhalation is an attractive research area for development. Therefore, this work aimed to develop inhalable co-spray-dried theophylline (TN) microparticles, utilizing raffinose-amino acid fine carriers intended for as...

  • Article
  • Open Access
22 Citations
6,913 Views
12 Pages

Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul

  • Qais Alemi,
  • Carl Stempel,
  • Patrick Marius Koga,
  • Valerie Smith,
  • Didem Danis,
  • Kelly Baek and
  • Susanne Montgomery

There is insufficient empirical evidence on the correlates of health care utilization of irregular migrants currently living in Turkey. The aim of this study was to identify individual level determinants associated with health service and medication...

  • Article
  • Open Access
1 Citations
2,918 Views
12 Pages

Homeless individuals have many negative experiences with inequality regarding access to and the use of primary healthcare services, so policies to eliminate the disparities in and barriers to primary care access for these people are needed. The aim o...

  • Article
  • Open Access
2 Citations
2,331 Views
30 Pages

Investigating the Time-Varying Nature of Medication Adherence Predictors: An Experimental Approach Using Andersen’s Behavioral Model of Health Services Use

  • Vasco M. Pontinha,
  • Julie A. Patterson,
  • Dave L. Dixon,
  • Norman V. Carroll,
  • D’Arcy Mays,
  • Karen B. Farris and
  • David A. Holdford

Medication adherence is a crucial factor for managing chronic conditions, especially in aging adults. Previous studies have identified predictors of medication adherence. However, current methods fail to capture the time-varying nature of how risk fa...

  • Article
  • Open Access
1 Citations
1,862 Views
19 Pages

Objectives: This study examined factors influencing community mental health service utilization and identified strategies to improve accessibility for psychiatric outpatients receiving care at the Department of Psychiatry. Methods: This cross-section...

  • Article
  • Open Access
3,053 Views
18 Pages

Prediction Model of Elderly Care Willingness Based on Machine Learning

  • Yongchao Jin,
  • Dongmei Liu,
  • Kenan Wang,
  • Renfang Wang and
  • Xiaodie Zhuang

26 January 2023

At present, the problem of an aging population in China is severe. The integration of existing healthcare services with elderly care services is inefficient and cannot meet the needs of the elderly. As such, China urgently needs the concerted efforts...

  • Article
  • Open Access
5 Citations
4,616 Views
16 Pages

25 January 2024

This study explores the profound impacts of the COVID-19 pandemic on higher education, focusing on shifts in learning experiences and students’ intentions to utilize mental health services post-pandemic. Utilizing Andersen’s Behavioral Mo...

  • Article
  • Open Access
4 Citations
2,871 Views
13 Pages

Unmet healthcare needs in the aftermath of disasters can significantly impede recovery efforts and exacerbate health disparities among the affected communities. This study aims to assess and predict such needs, develop an accurate predictive model, a...

  • Review
  • Open Access
24 Citations
7,318 Views
26 Pages

Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review

  • Tyler G. James,
  • Julia R. Varnes,
  • Meagan K. Sullivan,
  • JeeWon Cheong,
  • Thomas A. Pearson,
  • Ali M. Yurasek,
  • M. David Miller and
  • Michael M. McKee

Deaf and hard-of-hearing (DHH) populations are understudied in health services research and underserved in healthcare systems. Existing data indicate that adult DHH patients are more likely to use the emergency department (ED) for less emergent condi...

  • Article
  • Open Access
3 Citations
3,312 Views
15 Pages

Health Help-Seeking Behavior: The Scavengers’ Perspective

  • Beenish Malik,
  • Novel Lyndon,
  • Yew Wong Chin,
  • Basharat Hussain and
  • Sehrish Malik

Scavengers are prone to various health problems, hence seeking healthcare is inevitable. Despite the importance of the help-seeking behavior of scavengers, it has not been addressed explicitly in the existing literature. Addressing this gap, this stu...

  • Article
  • Open Access
13 Citations
4,653 Views
16 Pages

The application of bacteriophages for biocontrol has attracted increasing attention. Here, we applied ϕBTCU-1 as a model phage to develop a method for controlling Mycobacterium tuberculosis (MTB) by using a bacteriophage-containing aerosol in a chamb...

  • Article
  • Open Access
28 Citations
4,735 Views
14 Pages

Since 2009, the Chinese government has launched a basic public health services (BPHS) equalization program to provide the same BPHS to all the citizens. However, utilization of BPHS among older migrants is still low. The purpose of this paper was to...

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