Self-careSubstitute, Supplement, or Stimulus for Formal Medical Care Services?
作者:
Gretchen Fleming,
Aida Giachello,
Ronald Andersen,
Patricia Andrade,
期刊:
Medical Care
(OVID Available online 1984)
卷期:
Volume 22,
issue 10
页码: 950-966
ISSN:0025-7079
年代: 1984
出版商: OVID
关键词: self-care;utilization;costs of care;lay consultation;nonprescribed medication
数据来源: OVID
摘要:
This article examines the relationship between selected self-care practices during an episode of illness and the use of formal medical care. Stimulated by conflicting evidence and assertions, the general question addressed is: “Is self-care a substitute, a supplement, or a stimulus for use of formal medical care services?” Multiple Classification Analysis was used in a secondary data analysis of a 1976 nationwide study on access to medical care. The results suggest that self-care users may visit the physician less often and stay fewer days in the hospital, and thus they are expected to have lower expenditures for hospital and physician services. Therefore, the self-care activities examined appear to besubstitutesfor, rather than supplements or stimuli to, health services utilization. The results must be viewed with some caution due to limitations in the data. However, the results also argue for a greater research emphasis on self-care.
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