A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature

Theoretical models to explain health service utilization are numerous and there is no known literature that has synthesized existing models for health service utilization. Systematic searches were conducted in PubMed, MEDLINE, PsychINFO, Scopus, and CINAHL databases from 1960 through May 2021. Liter...

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Main Authors: Jordan A. Gliedt DC, Antoinette L. Spector PT, DPT, PhD, Michael J. Schneider DC, PhD, Joni Williams MD, MPH, Staci Young PhD
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580231176855
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author Jordan A. Gliedt DC
Antoinette L. Spector PT, DPT, PhD
Michael J. Schneider DC, PhD
Joni Williams MD, MPH
Staci Young PhD
author_facet Jordan A. Gliedt DC
Antoinette L. Spector PT, DPT, PhD
Michael J. Schneider DC, PhD
Joni Williams MD, MPH
Staci Young PhD
author_sort Jordan A. Gliedt DC
collection DOAJ
description Theoretical models to explain health service utilization are numerous and there is no known literature that has synthesized existing models for health service utilization. Systematic searches were conducted in PubMed, MEDLINE, PsychINFO, Scopus, and CINAHL databases from 1960 through May 2021. Literature theorizing models/frameworks for health service utilization were included. Multiple investigators screened citations and full texts. Data extracted included: (1) citation information, (2) purpose of models, and (3) major constructs of models. The search retrieved 6639 citations. A total of 34 articles were eligible for this review. Theoretical models were categorized into 4 thematic domains based on the purpose of the model: (1) generalized health service utilization, (2) health service utilization with respect to specific sociodemographic determinants of health, (3) health service utilization specific to illness or health disciplines, and (4) preventive health services/screenings. There was an increase in models developed over time with a trend toward model development specific to sociodemographic determinants of health, illness, and/or health disciplines. This review cataloged theoretical models for health service utilization by thematic domain to enhance the identification and critical review of existing models. Findings support the notion that theoretical pluralism has been adopted in the field of health service utilization.
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spelling doaj.art-a7730f4604bd4c3f84fb8aec3b5031672023-05-30T09:04:10ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432023-05-016010.1177/00469580231176855A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the LiteratureJordan A. Gliedt DC0Antoinette L. Spector PT, DPT, PhD1Michael J. Schneider DC, PhD2Joni Williams MD, MPH3Staci Young PhD4Medical College of Wisconsin, Milwaukee, WI, USAUniversity of Wisconsin-Milwaukee, Milwaukee, WI, USAUniversity of Pittsburgh, Pittsburgh, PA, USAMedical College of Wisconsin, Milwaukee, WI, USAMedical College of Wisconsin, Milwaukee, WI, USATheoretical models to explain health service utilization are numerous and there is no known literature that has synthesized existing models for health service utilization. Systematic searches were conducted in PubMed, MEDLINE, PsychINFO, Scopus, and CINAHL databases from 1960 through May 2021. Literature theorizing models/frameworks for health service utilization were included. Multiple investigators screened citations and full texts. Data extracted included: (1) citation information, (2) purpose of models, and (3) major constructs of models. The search retrieved 6639 citations. A total of 34 articles were eligible for this review. Theoretical models were categorized into 4 thematic domains based on the purpose of the model: (1) generalized health service utilization, (2) health service utilization with respect to specific sociodemographic determinants of health, (3) health service utilization specific to illness or health disciplines, and (4) preventive health services/screenings. There was an increase in models developed over time with a trend toward model development specific to sociodemographic determinants of health, illness, and/or health disciplines. This review cataloged theoretical models for health service utilization by thematic domain to enhance the identification and critical review of existing models. Findings support the notion that theoretical pluralism has been adopted in the field of health service utilization.https://doi.org/10.1177/00469580231176855
spellingShingle Jordan A. Gliedt DC
Antoinette L. Spector PT, DPT, PhD
Michael J. Schneider DC, PhD
Joni Williams MD, MPH
Staci Young PhD
A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
title_full A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
title_fullStr A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
title_full_unstemmed A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
title_short A Description of Theoretical Models for Health Service Utilization: A Scoping Review of the Literature
title_sort description of theoretical models for health service utilization a scoping review of the literature
url https://doi.org/10.1177/00469580231176855
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