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Table 1 Andersen's Conceptual Model of Health Service Utilization adapted to investigate BP outcome

From: Hypertension and type 2 diabetes: What family physicians can do to improve control of blood pressure - an observational study

ENVIRONMENT →

POPULATION CHARACTERISTICS →

HEALTH BEHAVIOUR →

OUTCOMES

 

Health care

system

Predisposing characteristics

Enabling Resources

Need

Use of Health Services

Evaluated health status

Level 1

Individual Patient

factors

 

Demographics

-Age

-Gender

-Ethnicity

Social Structure

-Education

-Marital status

Personal/family

-Private drug

insurance

Evaluated need

-Duration of

hypertension

-Duration of

diabetes

-Body mass

index

-HbA1c

-HDL

-LDL

-Renal Status

-Co-morbidity

Perceived need

-Bayliss' Comorbidity Index

Antihypertensive drug intensity

Health care system

-Diabetes

Education

Attendance

Personal health practices

-Medication

Adherence

(Morisky score)

-Blood Pressure

Self-Monitoring

-Smoking

-Physical activity

-Diet

-Alcohol

Consumption

Measured blood pressure (BP)

-Overall BP at target

-Systolic BP at target

-Diastolic BP at target

Level 2

Contextual

Physician/

Practice/

factors

Province

 

Provider Characteristics

-Gender

-Years in Family

Medicine

-Payment type

-Practice type

-Practice nurse

(Y/N)

-Urban/Rural

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