ArticleRisk management and healthcare policy2019
Understanding Healthcare Utilization In China Through The Andersen Behavioral Model: Review Of Evidence From The China Health And Nutrition Survey.
Article in Risk management and healthcare policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Factors Associated with Professional Mental Health Counseling Among Korean Adults: An Age-Stratified Analysis Using the Andersen Behavioral Model.Healthcare (Basel, Switzerland) · 2026Article
- Factors Associated with Primary Care, Behavioral Health, and Emergency Department Utilization Among Men with Opioid Use Disorder and Criminal-Legal Involvement: A Cross-Sectional Study.Research square · 2026Article
- Factors associated with Traditional Chinese Medicine use among older adults with chronic diseases in China.Scientific reports · 2026Article
- Dynamic effects of outpatient pooling scheme on socioeconomic inequality in healthcare utilization in China from 2011 to 2020.Scientific reports · 2025Article
- Does a take-home dose program result in better patient adherence to methadone? Evidence from Vietnam.Harm reduction journal · 2025Article
- Monitoring utilisation patterns of home- and community-based services for healthy ageing: a cross-sectional study.BMC geriatrics · 2025Article
- Living with technological challenges: does socioeconomic status affect people's health?BMC geriatrics · 2025Article
- Impact of China's primary healthcare reforms on utilisation, payments and self-reported health: a quasi-experimental analysis of a middle-aged and older cohort 2011-2018.BMJ public health · 2025Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Lifestyle and Cardiometabolic Risk Factors Associated with Impoverishment Due to Out-of-Pocket Health Expenditure in São Paulo City, Brazil.International journal of environmental research and public health · 2024Article
- Inequalities in health care use among patients with arthritis in China: using Andersen's Behavioral Model.Cost effectiveness and resource allocation : C/E · 2024Article
- Examining Factors Associated with the Use of Community Food Resources: An Application of the Andersen Model to Inform Future Interventions.International journal of environmental research and public health · 2024Article
- Social Medical Insurances, Choices of Medical Institutions and the 'Siphon Effect' in the Health Service Market: Evidence from 2021 Yangtze River Delta Region of China.Risk management and healthcare policy · 2024Article
- Effects of the Implementation of Transport-Driven Poverty Alleviation Policy on Health Care-Seeking Behavior and Medical Expenditure Among Older People in Rural Areas: Quasi-Experimental Study.JMIR public health and surveillance · 2023Article
- Use of Assistive Technologies and Alternative Means by Older People: The "Actional Model of Older People´s Coping with Health-Related Declines".Integrative psychological & behavioral science · 2023Article
- Factors influencing utilization of communicable disease prevention and treatment education among the floating population: a cross-sectional study in China.BMC public health · 2023Article
- Demand prediction of medical services in home and community-based services for older adults in China using machine learning.Frontiers in public health · 2023Article
- Healthcare Expenditures among the Elderly in China: The Role of Catastrophic Medical Insurance.International journal of environmental research and public health · 2022Article
- Behavioral Risk Factor and Primary Healthcare Utilization in South Africa.Healthcare (Basel, Switzerland) · 2022Article
- Effects of chronic disease diagnoses on alcohol consumption among elderly individuals: longitudinal evidence from China.BMJ open · 2022Article
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3 authors.
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Abstract
introductionFactors influencing healthcare utilization in China have been frequently analyzed and discussed from various angles, based upon different objectives. However, few studies have attempted to categorize and summarize key determinants of healthcare utilization in China.
methodsTo fill this gap, we reviewed all empirical studies that made use of data from the China Health and Nutrition Survey (CHNS), a longitudinal survey covering nine Chinese provinces for nearly three decades. The review was guided by Andersen's behavioral model, a conceptual framework widely used to analyze determinants of healthcare utilization.
resultsOur review discovered many strong and consistent predictors of healthcare utilization at the individual level, including predisposing factors (e.g., marriage status and education), enabling factors (e.g., income and wealth), and need factors (e.g., illness severity and health status); in contrast, contextual factors (e.g., employment rates and population health indices) have rarely been examined. Our review also revealed a few factors whose impacts differ from expectations in many studies (e.g., employment status and health insurance coverage). While several factors explored in the reviewed studies (e.g., urbanization and industrialization) are not part of Andersen's model, some factors specified in the model (e.g., values and knowledge about health and health services) remain unexplored in the context of China.
conclusionIndividual-level factors received much more attention than contextual-level factors in the reviewed studies. It leads to an inadequate understanding of the roles played by contextual factors. Among the individual-level factors that have been extensively examined, enabling variables affect healthcare utilization more than predisposing and need factors.
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