ArticleBMC geriatrics2020
Adapting Andersen's expanded behavioral model of health services use to include older adults receiving long-term services and supports.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
64 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.
- Older adults' experiences of health seeking in rural areas in low- and middle-income countries: a systematic review of qualitative studies.Health policy and planning · 2026Pooled it
- Article
- Social and Health Conditions That Drive the Need and Demand for, Use of and Expenditure on Social Care in the UK: A Systematic Review.Cochrane evidence synthesis and methods · 2026Review
- Real-world medical and long-term care service utilization patterns among older adults with complex needs in China: a latent class analysis.BMC geriatrics · 2026Article
- Differences in patient access to and utilization of caregiving services: a scoping review.BMC health services research · 2026Article
- Does living alone reshape healthcare use? Longitudinal evidence from older adults in China.BMC primary care · 2026Article
- Knowledge and smart health device use in racial-ethnic minority older adults with hypertension: a qualitative study.Innovation in aging · 2026Article
- Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes.Journal of health care for the poor and underserved · 2026Article
- Determinants, barriers, and facilitators of healthcare access for patients with hypertension in rural Ghana: applying the Andersen-Newman model of healthcare utilization.Global health action · 2025Article
- Factors influencing health service utilisation among older adults in the Tamale metropolis: a cross-sectional study based on Andersen's behavioural model.BMC geriatrics · 2025Article
- Determinants of antenatal care utilization among Saudi females: application of Andersen's behavioral model: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Factors Associated with Help-seeking Behavior among U.S. Chinese Older Adults who Experienced Elder Mistreatment.Journal of immigrant and minority health · 2025Article
- Modeling determinants of accessibility for healthcare services in rural and urban areas of Dodoma, Tanzania.BMC public health · 2025Article
- Understanding how digital health literacy affects health self-management behaviors: The mediating role of self-efficacy in college students.Scientific reports · 2025Article
- "Nobody Can Be Equipped for This": Advice From New Residents of Long-Term Care Facilities.Journal of the American Geriatrics Society · 2025Article
- Monitoring utilisation patterns of home- and community-based services for healthy ageing: a cross-sectional study.BMC geriatrics · 2025Article
- Determinants of Community Mental Health Service Utilization Among Psychiatric Outpatients at a Tertiary Medical Institution: Applying Andersen's Behavioral Model.Healthcare (Basel, Switzerland) · 2025Article
- Household healthcare seeking patterns for emergent ill-health in Migori, Western Kenya.Frontiers in public health · 2025Article
- Zero-Dose Vaccination Among Children Aged 12-35 Months in Ethiopia.TheScientificWorldJournal · 2025Article
- Exploration of policy feedback mechanism for healthcare improvement in China: a grounded theory model.Frontiers in medicine · 2025Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAndersen's Expanded Behavioral Model of Health Services Use describes factors associated with the use of long-term services and supports (LTSS). This model, however, has only been tested on the intent to use such services among African-American and White older adults and not the actual use. Given the increasing diversity of older adults in the U.S., the ability to conceptualize factors associated with actual use of LTSS across racial/ethnic groups is critical.
methodsWe applied Andersen's Expanded model in the analysis of 2006-2010 qualitative data using multiple methods to understand both the relevancy of factors for older adults who currently use LTSS vs. those who intend to use LTSS (as described in Andersen's original exploration). We additionally explored differences in these factors across racial/ethnic groups and included Hispanic older adults in our analyses.
resultsFour additional constructs linked with actual LTSS use emerged: losses and changes, tangible support, capability to provide informal support, and accessibility of informal support. Racial differences were seen in level of participation in decisions to use nursing home services (Not involved: 45% African-Americans vs. 24% Whites). Reports of LTSS use to avoid burdening one's family were greater among White older adults compared to African-American older adults.
conclusionsFindings around decision-making and burden along with other constructs enhance our understanding of determinants that influence actual LTSS use and require targeted interventions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.