Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jul;52(7):1346-1354.
doi: 10.18502/ijph.v52i7.13236.

Application and Use of Andersen's Behavioral Model as Theoretical Framework: A Systematic Literature Review from 2012-2021

Abdullah Alkhawaldeh  1 , Mohammed ALBashtawy  1 , Ahmad Rayan  2 , Asem Abdalrahim  1 , Ahmad Musa  1 , Nidal Eshah  2 , Abdallah Abu Khait  3 , Jamal Qaddumi  4 , Omar Khraisat  5 , Sa'd ALBashtawy  6
Affiliations
Review

Application and Use of Andersen's Behavioral Model as Theoretical Framework: A Systematic Literature Review from 2012-2021

Abdullah Alkhawaldeh et al. Iran J Public Health. 2023 Jul.

Abstract

Background: Anderson's model provides a theoretical structure to understand use of health service. This scoping review aimed to examine the application of Andersen's behavioral model in different studies.

Methods: Related studies that were published between 2012 and 2021 were retrieved by searching PubMed, Science Direct, and CINAHL databases. Fourteen studies satisfied the criteria for inclusion.

Results: The reviewed studies specified that the Andersen's Model has been used in numerous parts of the health system and concerning different illnesses. The reviewed studies revealed differences in the factors examined. Most of the studies examined age, education, gender, marital status, and employment status as predisposing factors, and income, medical insurance, and living location as enabling factors. While, the chronic illnesses and perceived general health status were examined as need factors, in addition to an extensive diversity of health conditions and illnesses. Though the associations were established among the key factors tested in the reviewed studies and health care service use, the findings were inconsistent. In the reviewed studies, the setting and the study population characteristics looked to have a strong influence on the direction and strength of these associations.

Conclusion: Merely a slight number of common factors were examined and there were enormous differences in the methods by which these factors were classified. Future and primary studies are necessary to deepen our understanding of the use of health care services and the complexity of the Andersen's behavioral model.

Keywords: Andersen’s behavioral model; Health services utilization.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest The author declares that there is no conflict of interest.

Figures

Fig. 1:
Fig. 1:
Illustrates the study selection process consistent with the PRISMA statement
See this image and copyright information in PMC

References

    1. Kehrer BH. (1972). A behavioral model of families' use of health services. J Hum Resour, 7 (1): 125.
    1. Andersen R, Newman JF. (1973). Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc, 51(1):95–124. - PubMed
    1. Aday LA, Andersen R. (1974). A framework for the study of access to medical care. Health Serv Res, 9(3): 208–20. - PMC - PubMed
    1. Andersen RM. (1995). Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav, 36(1):1–10. - PubMed
    1. Andersen RM, Rice TH, Kominski GF. (2011). Changing the US Health Care System, CafeScribe: Key Issues in Health Services Policy and Management. John Wiley & Sons.

LinkOut - more resources