Ronald M Andersen
Biographic Data
| ID | 283166 |
|---|---|
| NAME | Ronald M Andersen |
| GIVEN NAMES | Ronald M |
| FAMILY NAME | Andersen |
| SIGNATURE | ANDERSEN R M |
| AFFILIATIONS | University of California, Los Angeles |
| VERIFIED | No |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 1134 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1962 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 4 |
Substance Use among Women Attending Primary Healthcare Community Centers: A Binational Comparison for the Development of Brief Intervention Programs
Assessing the contribution of the dental care delivery system to oral health care disparities
Objectives Existing studies of disparities in access to oral health care for underserved populations often focus on supply measures such as number of dentists. This approach overlooks the importance of other aspects of the dental care delivery system, such as personal and practice characteristics of dentists, that determine the capacity to provide care. This study aims to assess the role of such characteristics in access to care of underserved po…
VA Health Service Utilization for Homeless and Low-income Veterans: A Spotlight on the VA Supportive Housing (Vash) Program in Greater Los Angeles
BACKGROUND: The US Department of Housing and Urban Development (HUD)-VA Supportive Housing (VASH) program-the VA's Housing First effort-is central to efforts to end Veteran homelessness. Yet, little is known about health care utilization patterns associated with achieving HUD-VASH housing. OBJECTIVES: We compare health service utilization at the VA Greater Los Angeles among: (1) formerly homeless Veterans housed through HUD-VASH (HUD-VASH Veteran…
Chronic Disease Management for Recently Homeless Veterans: A Clinical Practice Improvement Program to Apply Home Telehealth Technology to a Vulnerable Population
BACKGROUND: Although vulnerable populations may benefit from in-home health information technologies (HIT) that promote disease self-management, there is a "digital divide" in which these groups are often unlikely to use such programs. We describe the early phases of applying and testing an existing Veterans Affairs (VA) HIT-care management program, Care Coordination Home Telehealth (CCHT), to recently homeless Veterans in the US Department of Ho…
HIV and STI Risk Behaviors, Knowledge, and Testing Among Female Adult Film Performers as Compared to Other California Women
Homeless Women: Who is Really at Risk for Unintended Pregnancy
Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system
Variations in provider conceptions of integrative medicine
A Longitudinal Analysis of Unmet Need for Oral Treatment in a National Sample of Medical HIV Patients
This longitudinal study examines perceived unmet dental need in a nationally representative probability sample of HIV-infected persons in medical care. A logistic regression analysis modeled the relationship between unmet need and explanatory variables. We estimate that 40% of HIV/AIDS patients report an unmet need associated with being male, being unemployed, injecting drugs, being heterosexual, lacking dental insurance, and having less educatio…
A Framework for Evaluating Safety-Net and other Community-Level Factors on Access for Low-Income Populations
The framework presented in this article extends the Andersen behavioral model of health services utilization research to examine the effects of contextual determinants of access. A conceptual framework is suggested for selecting and constructing contextual (or community-level) variables representing the social, economic, structural, and public policy environment that influence low-income people's use of medical care. Contextual variables capture …
Effects of Community Factors on Access to Ambulatory Care for Lower-Income Adults in Large Urban Communities
This study examines the effects of community-level and individual-level factors on access to ambulatory care for lower-income adults in 54 urban metropolitan statistical areas in the United States. Drawing on a conceptual behavioral and structural framework of access, the authors developed multivariate models for insured and uninsured lower-income adults to assess the adjusted effects of community- and individual-level factors on two indicators o…
Sociodemographic Differences in Access to Care Among Hispanic Patients Who Are HIV Infected in the United States
This study evaluated associations between sociodemographic factors and access to care, use of highly active antiretroviral therapy, and patients’ ratings of care among Hispanic patients who are HIV infected; we used data from the HIV Cost and Services Utilization Study. Gender, insurance, mode of exposure, and geographic region were associated with access to medical care. Researchers and policymakers should consider sociodemographic factors among…
The Impact of HIV on Oral Health and Subsequent Use of Dental Services
Persons with more HIV-related symptoms and a diagnosis of AIDS have a greater need for dental care than those with fewer symptoms and without AIDS, but more pressing needs for physical and mental health services limit their access to dental services. Providers should better attend to the oral health needs of persons with HIV who are in poor physical and mental health
Access to Medical Care for Low-Income Persons: How do Communities Make a Difference?
This paper considers the impact of community-level variables over and above the effects of individual characteristics on healthcare acess for low-income children and adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs’ performance in promoting healthcare access for their low-income populations. The individual-level data come from the 1995 and 1996 National Health Interview Survey (NHIS). The community-level varia…
Health care reform in Sweden, 1980-1994
A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States
To serve both the dental and medical needs of diverse populations affected by HIV disease, greater coordination of services is needed. In addition, state insurance programs for people with HIV should consider the feasibility of expanding their benefit structure to include dental care benefits
Weighting for Period Perspective in Samples of the Homeless
For some sample-based studies of the homeless, it may be relevant to adopt a period perspective, in which analyses focus on the mix of persons who experience homelessness at least once during some period of time, not just the mix of persons at a point in time. Period perspective presumably can be enhanced by weights that account for the intermittent nature of homelessness, but such weighting invites implementation problems related to calculation,…
Utilization of Birth Control Services among Homeless Women
Although homeless women appear to be at notable risk of unintended pregnancy, insufficient attention has been paid to understanding their access to birth control services and the characteristics of homeless women who want birth control services. To address these research gaps, the authors analyzed data from a probability sample of 974 homeless women who were interviewed in shelters and meal programs in Los Angeles County. Multivariate logistic re…
Demonstrating Successful Aging Using the International Collaborative Study for Oral Health Outcomes
As the lifespan increases and people are faced with 15 to 20 years of "old age," we ask what one considers successful aging with respect to oral health. We propose a comprehensive combination of outcome variables, maintenance of teeth, manageable periodontal condition, positive perceived oral health, satisfaction with their access to and receipt of dental services, and minimal functional problems, that together comprise a definition of successful…
Prevalence and Predictors of Unmet Need for Supportive Services Among HIV-Infected Persons: Impact of Case Management
BACKGROUND: Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES: To assess the prevalence of need and unmet need for supportive services and the impact of case managers on unmet need among HIV-infe…
The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons With Human Immunodeficiency Virus Receiving Care in the United States
OBJECTIVES: To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected with human immunodeficiency virus (HIV), using self-reported data. DESIGN: Survey of a nationally representative sample of 2,864 adults receiving HIV care. MAIN INDEPENDENT VARIABLES: Going without care because of needing the money for food, clothing, or housing; postponing care because of not havi…
The Care of HIV-Infected Adults in the United States
BACKGROUND AND METHODS: In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in the United States, we randomly sampled HIV-infected adults receiving medical care in the contiguous United States at a facility other than military, prison, or emergency department facility during the first two months of 1996. We interviewed 76 percent of 4042 patients selected from among the patients receiving care from…
Determinants of Regular Source of Care Among Homeless Adults in Los Angeles
OBJECTIVES: The authors explore the determinants of having a regular source of care in a community-based probability sample of homeless adults in Los Angeles. Results from this study should be more representative than those from previous studies of the homeless that are clinic- or shelter-based. In addition to those factors found to be barriers to regular sources of care in the general population, we hypothesized that psychosocial characteristics…
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter
The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance
Using Relative Productivity Assessments for Allocating Housestaff to Departments
Roizen, Michael F. MD*; Brown, Kaye F.†; Marais, M Laurentius PhD†; Maher, Michael W. PhD, CPA†; Andersen, Ronald M. PhD†; Shaw, S Thomas MD‡; Zarins, Christopher K. MD§; Sorensen, Leif B. MD¶; Leventhal, Bennett L. MD∥,#; Brown, Anke MBA†; Moawad, Atef H. MD#,**; Berkelhamer, Jay E. MD# Author Information
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter
The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance
Black-White Differences in Health Status: Methods or Substance
Apparent differences in the health status of blacks and whites vary according to methods of measurement, errors in the measurement process and interpretation of the measures, and types of measures used. This article uses the literature and secondary analysis of available data to explore the impact of methods on health status comparisons by race. Methods to measure health status include records, direct observations, and self-reports. Blacks genera…
Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system
Variations in provider conceptions of integrative medicine
Utilization of Birth Control Services among Homeless Women
Although homeless women appear to be at notable risk of unintended pregnancy, insufficient attention has been paid to understanding their access to birth control services and the characteristics of homeless women who want birth control services. To address these research gaps, the authors analyzed data from a probability sample of 974 homeless women who were interviewed in shelters and meal programs in Los Angeles County. Multivariate logistic re…
Sociodemographic Differences in Access to Care Among Hispanic Patients Who Are HIV Infected in the United States
This study evaluated associations between sociodemographic factors and access to care, use of highly active antiretroviral therapy, and patients’ ratings of care among Hispanic patients who are HIV infected; we used data from the HIV Cost and Services Utilization Study. Gender, insurance, mode of exposure, and geographic region were associated with access to medical care. Researchers and policymakers should consider sociodemographic factors among…
Weighting for Period Perspective in Samples of the Homeless
For some sample-based studies of the homeless, it may be relevant to adopt a period perspective, in which analyses focus on the mix of persons who experience homelessness at least once during some period of time, not just the mix of persons at a point in time. Period perspective presumably can be enhanced by weights that account for the intermittent nature of homelessness, but such weighting invites implementation problems related to calculation,…
Changes in Personal Adjustment to Perceived and Medically Established Heart Disease: A Panel Study
Robert L. Eichhorn, Ronald M. Andersen, Changes in Personal Adjustment to Perceived and Medically Established Heart Disease: A Panel Study, Journal of Health and Human Behavior, Vol. 3, No. 4 (Winter, 1962), pp. 242-249
Equity of Access to Medical Care: A Conceptual and Empirical Overview
This paper summarizes the major ethical considerations in the conceptualization and measurement of the equity of access concept, presents national and community data on the most current profile of access in the United States, and discusses the implications of these conceptual and empirical issues. Changes in health care policy and the future of the “equity of access” objective in the U.S. are also discussed
Self-care: Substitute, Supplement, or Stimulus for Formal Medical Care Services
This article examines the relationship between selected self-care practices during an episode of illness and the use of formal medical care. Stimulated by conflicting evidence and assertions, the general question addressed is: “Is self-care a substitute, a supplement, or a stimulus for use of formal medical care services?” Multiple Classification Analysis was used in a secondary data analysis of a 1976 nationwide study on access to medical care. …
The Municipal Health Services Program: Improving Access to Primary Care Without Increasing Expenditures
Under the Municipal Health Services Program (MHSP), five city governments created networks of primary care clinics with a goal of serving populations thought to have poor access to primary medical care. A major concern was fragmented care in public hospitals and other public facilities. The new MHSP clinics were expected to provide care at lower cost than the population's alternative sources of care. Medicare and Medicaid waivers were also provid…
Upheaval and adaptation
Hospital-Physician Sponsored Primary Care: Marketing and Impact
Black-White Differences in Health Status: Methods or Substance
Apparent differences in the health status of blacks and whites vary according to methods of measurement, errors in the measurement process and interpretation of the measures, and types of measures used. This article uses the literature and secondary analysis of available data to explore the impact of methods on health status comparisons by race. Methods to measure health status include records, direct observations, and self-reports. Blacks genera…
The Sociologist as Consultant
Part I: Application of Sociological Knowledge and Methods Applying Sociology in the Consulting Role by Richard O'Toole, J. Patrick Turbett, and Anita W. O'Toole Consulting Sociology as a Vocation: Sociological and Societal Conditions and Constraints by Jeffery K. Lange Part II: Consulting Activities for Sociologists Organization Development and the Consulting Sociologist by Gilbert M. Fornaciari and Betty June Chakiris Sociological Consultancy an…
Health Policies, Health Politics: The British and American Experience, 1911-1965 . Daniel M. Fox
The Impact of Corporate Structures on Physician Inclusion and Participation
This study examines the impact of corporate arrangements on the hospital-physician relationship. Specifically, it investigates the effects of for-profit ownership and membership in a multihospital system on physician inclusion (salaried employment, hospital-based practice) and participation (involvement in governance and management). Contrary to common perceptions and several hypotheses drawn from the literature, corporate arrangements are associ…
Using Relative Productivity Assessments for Allocating Housestaff to Departments
Roizen, Michael F. MD*; Brown, Kaye F.†; Marais, M Laurentius PhD†; Maher, Michael W. PhD, CPA†; Andersen, Ronald M. PhD†; Shaw, S Thomas MD‡; Zarins, Christopher K. MD§; Sorensen, Leif B. MD¶; Leventhal, Bennett L. MD∥,#; Brown, Anke MBA†; Moawad, Atef H. MD#,**; Berkelhamer, Jay E. MD# Author Information
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter
The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance
Determinants of Regular Source of Care Among Homeless Adults in Los Angeles
OBJECTIVES: The authors explore the determinants of having a regular source of care in a community-based probability sample of homeless adults in Los Angeles. Results from this study should be more representative than those from previous studies of the homeless that are clinic- or shelter-based. In addition to those factors found to be barriers to regular sources of care in the general population, we hypothesized that psychosocial characteristics…
The Care of HIV-Infected Adults in the United States
BACKGROUND AND METHODS: In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in the United States, we randomly sampled HIV-infected adults receiving medical care in the contiguous United States at a facility other than military, prison, or emergency department facility during the first two months of 1996. We interviewed 76 percent of 4042 patients selected from among the patients receiving care from…
The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons With Human Immunodeficiency Virus Receiving Care in the United States
OBJECTIVES: To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected with human immunodeficiency virus (HIV), using self-reported data. DESIGN: Survey of a nationally representative sample of 2,864 adults receiving HIV care. MAIN INDEPENDENT VARIABLES: Going without care because of needing the money for food, clothing, or housing; postponing care because of not havi…
Demonstrating Successful Aging Using the International Collaborative Study for Oral Health Outcomes
As the lifespan increases and people are faced with 15 to 20 years of "old age," we ask what one considers successful aging with respect to oral health. We propose a comprehensive combination of outcome variables, maintenance of teeth, manageable periodontal condition, positive perceived oral health, satisfaction with their access to and receipt of dental services, and minimal functional problems, that together comprise a definition of successful…
Prevalence and Predictors of Unmet Need for Supportive Services Among HIV-Infected Persons: Impact of Case Management
BACKGROUND: Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES: To assess the prevalence of need and unmet need for supportive services and the impact of case managers on unmet need among HIV-infe…
A Comparison of Unmet Needs for Dental and Medical Care Among Persons with HIV Infection Receiving Care in the United States
To serve both the dental and medical needs of diverse populations affected by HIV disease, greater coordination of services is needed. In addition, state insurance programs for people with HIV should consider the feasibility of expanding their benefit structure to include dental care benefits
Weighting for Period Perspective in Samples of the Homeless
For some sample-based studies of the homeless, it may be relevant to adopt a period perspective, in which analyses focus on the mix of persons who experience homelessness at least once during some period of time, not just the mix of persons at a point in time. Period perspective presumably can be enhanced by weights that account for the intermittent nature of homelessness, but such weighting invites implementation problems related to calculation,…
Utilization of Birth Control Services among Homeless Women
Although homeless women appear to be at notable risk of unintended pregnancy, insufficient attention has been paid to understanding their access to birth control services and the characteristics of homeless women who want birth control services. To address these research gaps, the authors analyzed data from a probability sample of 974 homeless women who were interviewed in shelters and meal programs in Los Angeles County. Multivariate logistic re…
Access to Medical Care for Low-Income Persons: How do Communities Make a Difference?
This paper considers the impact of community-level variables over and above the effects of individual characteristics on healthcare acess for low-income children and adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs’ performance in promoting healthcare access for their low-income populations. The individual-level data come from the 1995 and 1996 National Health Interview Survey (NHIS). The community-level varia…
Health care reform in Sweden, 1980-1994
The Impact of HIV on Oral Health and Subsequent Use of Dental Services
Persons with more HIV-related symptoms and a diagnosis of AIDS have a greater need for dental care than those with fewer symptoms and without AIDS, but more pressing needs for physical and mental health services limit their access to dental services. Providers should better attend to the oral health needs of persons with HIV who are in poor physical and mental health
A Framework for Evaluating Safety-Net and other Community-Level Factors on Access for Low-Income Populations
The framework presented in this article extends the Andersen behavioral model of health services utilization research to examine the effects of contextual determinants of access. A conceptual framework is suggested for selecting and constructing contextual (or community-level) variables representing the social, economic, structural, and public policy environment that influence low-income people's use of medical care. Contextual variables capture …
Effects of Community Factors on Access to Ambulatory Care for Lower-Income Adults in Large Urban Communities
This study examines the effects of community-level and individual-level factors on access to ambulatory care for lower-income adults in 54 urban metropolitan statistical areas in the United States. Drawing on a conceptual behavioral and structural framework of access, the authors developed multivariate models for insured and uninsured lower-income adults to assess the adjusted effects of community- and individual-level factors on two indicators o…
Medicine (28 works) · Family medicine (19 works) · Environmental health (16 works) · Health care (15 works) · Gerontology (14 works) · Gerontology (13 works) · Nursing (11 works) · Population (10 works) · Psychology (10 works) · Business (9 works)