Determinants of Physician Utilization Among Mexican-Americans

A Three-generations Study

Datos Bibliográficos

ID9104911
AutoresKyriakos S Markides (General Department of Preventive Medicine), Jeffrey S Levin (The University of Texas Medical Branch at Galveston), Laura A Ray (The University of Texas Medical Branch at Galveston)
Año1985
Volumen23
Número3
Páginas236-246
Fecha de publicación1985-03-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198503000-00005
PMID3982104
OpenAlexW1989308866
IdiomaEN
Citas recibidas17

Determinants of physician utilization were examined using a three-generational sample of Mexican-Americans in San Antonio. A typical version of Andersen's causal behavioral model was moderately successful in predicting physician utilization in the middle and older generations and less successful in the younger generation. Consistent with the literature, need factors (health indicators) tended to affect utilization most directly. The authors also examined whether acculturation into the larger society positively influenced utilization regardless of need, as the literature suggested. While three separate measures of acculturation had no independent effects on physician utilization, acculturation did affect utilization indirectly via the need variables in the middle generation, although these effects were not consistently in the direction of greater utilization. Generational differences in determinants of physician utilization are discussed particularly in relation to the model's greater relevance for the middle and older generations

Acculturation · Affect (linguistics) · Ethnic group · Mexican americans · Sample (material) · Sociology · Demography · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Psychology · Gerontology