Identification of determinants of the utilisation of acupuncture treatment using Andersen's behavioural model

Acupunct Med. 2015 Apr;33(2):129-35. doi: 10.1136/acupmed-2014-010661. Epub 2014 Nov 24.

Abstract

Objectives: The utilisation of healthcare services is the result of a complex decision-making process with different determinants. This study aims to identify the determinants of the utilisation of acupuncture treatment using Andersen's behavioural model and quality of life.

Methods: In this study we reviewed Korean Health Panel data, a nationally representative set of data, and analysed the utilisation of outpatient acupuncture services during 2011. A two-part model, which included predisposing, enabling and need factors of Andersen's behavioural model in model 1 and the additional factor of health-related quality of life (HRQOL, EQ-5D Korean index) in model 2, was analysed by logistic analysis to identify determinants of acupuncture service usage among subjects who visited traditional Korean medical clinics.

Results: The higher frequency of acupuncture service usage among patients who visited traditional Korean medical clinics was associated with gender, age, number of chronic diseases, physical disabilities and HRQOL of the subjects.

Conclusions: This study shows that the important determinants of the frequency of acupuncture treatment utilisation are gender, age, number of chronic diseases and the presence of physical disabilities. Our findings contribute to understanding the characteristics of patients who use acupuncture treatment and may be used as a basic resource for related policy making by government officials and medical professionals.

Keywords: ACUPUNCTURE; HEALTH SERVICES ADMINISTRATION & MANAGEMENT; PUBLIC HEALTH.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acupuncture Therapy / psychology*
  • Acupuncture Therapy / statistics & numerical data*
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Ambulatory Care / statistics & numerical data
  • Chronic Disease / psychology
  • Chronic Disease / therapy*
  • Female
  • Humans
  • Male
  • Medicine, Korean Traditional
  • Middle Aged
  • Patient Acceptance of Health Care / psychology
  • Quality of Life
  • Republic of Korea
  • Sex Factors
  • Young Adult