Interaction Effects in a Multivariate Model of Physician Visits by Older People
Bibliographic Data
| ID | 9103909 |
|---|---|
| Authors | Greg Arling (0000-0001-8563-9433, Virginia Commonwealth University Medical Center, corresponding author) |
| Year | 1985 |
| Volume | 23 |
| Issue | 4 |
| Pages | 361-371 |
| Publication date | 1985-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198504000-00008 |
| PMID | 3872978 |
| OpenAlex | W2040682283 |
| Language | EN |
| Citations received | 13 |
| References cited | 22 |
Previous studies using multivariate models of physician visits by the general population and by older people have failed to take into account the interaction between health, functional impairment, and economic status. Further, they have not inquired fully into effects of psychologic distress and social support on the use of services. Based on the analysis of data from a statewide crosssectional survey of noninstitutionalized older people (N = 2,146), it was discovered that: economic deprivation had a negative main effect and a negative interaction effect (with medical conditions) on the number of self-reported physician visits; both psychosomatic and emotional distress had independent positive effects; the number and self-perceived severity of medical conditions, along with psychosomatic symptoms, were important predictors of the number of visits for older people without ADL impairments, but these factors were nonsignificant among functionally impaired respondents; and social support and emotional distress were the major factors accounting for visits among the severely functionally impaired. The findings point to the importance of integrating concepts from illness-behavior studies into multivariate models of health service use and considering access to medical care within the total context of long-term care services
Anxiety · Context (archaeology) · Distress · Emotional distress · Environmental health · Multivariate analysis · Multivariate statistics · Population · Psychiatry · Clinical Psychology · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Patient Satisfaction in Healthcare · Psychology · Gerontology
Physician Visits by the Elderly
The Effect of Managed Care on Health Services Use by Dually Eligible Elders
The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services
Statistical Interactions in Studies of Physician Utilization Promise and Pitfalls
Consistently High Users of Medical Care Among the Elderly
Illness Episodes, Physician Visits, and Depressive Symptoms
Correlates of Service Utilization Among Midlife and Older Adults With HIV/Aids
Physician Utilization by Hispanic Elderly Persons
Gender and use of health care among older adults in Egypt and Tunisia
The role of social support and life stress events in use of mental health services
Socio-economic status and the utilisation of physicians' services
Equity in health care
Self-care among older adults
The Development, Validity, and Reliability of the Oars Multidimensional Functional Assessment Questionnaire
Psychosocial Processes and “Stress”
Factors Affecting the Use of Social and Health Services Among the Elderly
Access to Medical Care in the U.S
Distress Syndromes, Illness Behavior, Access to Care and Medical Utilization in a Defined Population
Making Sense Out of Utilization Data
Access to Medical Care
Predicting Physician Utilization
Correlates of Physician Utilization
Stress, Illness Behavior, and the Sick Role
Determinants of Physician Utilization
The Effect of Psychological Distress on Physician Utilization
Methodological Issues in Estimating Main and Interactive Effects
Mental Health and the Elderly
Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization
Psychological Distress and Perceived Health Status
The Effect of Social Support in Moderating the Health Consequences of Unemployment
Use of Social and Health Services by the Elderly
Self-Ratings of Health among the Old and the Old-Old
A Suggestion for Improving the Behavioral Model of Physician Utilization
Decreasing Multicollinearity
The Problems for Academic and Entrepreneurial Research in the Use of Health Services
| Unique citing works | 13 |
|---|---|
| Citations per year | 0,34 |
| Citation span | 1988 - 2004 (17) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |