Individual Determinants (individual + determinant)

Distribution by Scientific Domains


Selected Abstracts


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

THE MILBANK QUARTERLY, Issue 4 2005
RONALD ANDERSEN
A theoretical framework for viewing health services utilization is presented, emphasizing the importance of the (1) characteristics of the health services delivery system, (2) changes in medical technology and social norms relating to the definition and treatment of illness, and (3) individual determinants of utilization. These three factors are specified within the context of their impact on the health care system. Empirical findings are discussed which demonstrate how the framework might be employed to explain some key patterns and trends in utilization. In addition, a method is suggested for evaluating the utility of various individual determinants of health services utilization used in the framework for achieving a situation of equitable distribution of health services in the United States. [source]


Confounders and confusion: Dealing with cancer cases of occupational origin,

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 10 2010
Paolo Crosignani MD
Abstract Background The recognition of occupational cancers is often hampered by confusion between the individual determinants of the disease and effects at the group level. Methods Here we propose an approach, based on the evaluation of the attributable risk at the group level, that provides quantitative estimates of the roles of multiple causes in individuals affected of cancer within a population exposed to occupational risk. Results The estimate of individual probability can be easily obtained computing the attributable risk. This can be often achieved by using the existing information available in the literature. Conclusions Dismissing the occupation as a cause of a cancer in an exposed subject on the sole basis of potential confounding is erroneous and should be withdrawn from medical practice. Am. J. Ind. Med. 53:1002,1005, 2010. 2010 Wiley-Liss, Inc. [source]


Psychosocial determinants of behaviour problems in Brazilian preschool children

THE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 4 2004
Luciana Anselmi
Background:, This investigation aimed at examining, through an epidemiological study, the social demographic, family and individual determinants of behaviour problems in preschool children. Method:, Six hundred and thirty-four children, age four years, and their mothers, belonging to a cohort of 5,304 children being followed from birth, took part in the study. During a home visit, the child's behaviour problems and IQ were examined, as well as the prevalence of maternal psychiatric disorder, the quality of the home environment, and other social demographic, family and individual factors. Results:, The results revealed a prevalence of children's behaviour problems of 24% (clinical and borderline groups). Regression analysis showed that maternal psychiatric disorder, education and age, number of younger siblings and quality of the home environment explained 28% of the variance of the child's behaviour problems. Conclusions:, The results point to the multi-determination of child behaviour problems. [source]


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

THE MILBANK QUARTERLY, Issue 4 2005
RONALD ANDERSEN
A theoretical framework for viewing health services utilization is presented, emphasizing the importance of the (1) characteristics of the health services delivery system, (2) changes in medical technology and social norms relating to the definition and treatment of illness, and (3) individual determinants of utilization. These three factors are specified within the context of their impact on the health care system. Empirical findings are discussed which demonstrate how the framework might be employed to explain some key patterns and trends in utilization. In addition, a method is suggested for evaluating the utility of various individual determinants of health services utilization used in the framework for achieving a situation of equitable distribution of health services in the United States. [source]