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November 18, 2005Milbank Quarterly

Societal and Individual Determinants of Medical Care Utilization in the United States

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Authors

RARonald AndersenUniversity of California, Los AngelesJNJohn F. NewmanAuckland District Health Board

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Overview

Conceptual analysis reveals key system-level and individual drivers of medical care utilization, highlighting pathways toward equitable health services distribution.

Key Points

  • To introduce a conceptual framework that integrates health delivery systems, societal changes, and individual factors to explain healthcare utilization and assess equitable service distribution in the United States.
  • Developed a three-part theoretical model delineating delivery system characteristics, shifts in medical technology and social illness definitions, and individual determinants of utilization.
  • Integrated empirical utilization patterns and trends to assess the descriptive validity of the proposed framework.
  • Demonstrated that healthcare utilization patterns reflect complex interactions among structural delivery system features, shifting medical technologies, and patient-level attributes.
  • Established an evaluative approach using individual determinants within the framework to benchmark and measure equitable distribution of healthcare services.

Cite This Study

Andersen et al. (2005) studied this question.

synapsesocial.com/papers/69d7690ff07a12db70b8ae16https://doi.org/10.1111/j.1468-0009.2005.00428.x
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Why People Use Health Services1966 · 2,327 citations
  2. 2The Relationship between Socio-Economic Rank and Behavior1963 · 43 citations
  3. 3The Handbook of Social Psychology1969 · 12,647 citations