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We examined predisposing, enabling and needs factors associated to treatment adequacy for GAD.
The model consists of three determinant factors: predisposing, enabling, and needs factors.
Patient characteristics were conceptually grouped into predisposing, enabling, and needs factors according to Andersen's Behavioural Model of Health Services Use [ 44].
According to Andersen, factors associated with the utilization of health services can be grouped into predisposing, enabling, and needs factors [ 12].
Factors influencing accessibility on the demand-side result from predisposing, enabling, and needs factors [ 49], including socio-demographics, past experiences with healthcare, perceptions regarding health and illness, income levels and scope, and extent of health insurance coverage [ 50].
Table 3 presents the results of the multilevel logistic regression analyses showing predisposing, enabling and needs factors associated with adequate pharmacological and psychological treatments for the sample.> -wrap-foot> NOTES: Bivariate association's threshold is p ≤ 0.10.
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First, following Goodwin and Andersen (2002), stepwise logistic regression models computed adjusted odds ratios and identified the inmate predisposing, enabling, and need correlates of using health services.
The BM postulates that healthcare utilisation rest on predisposing, enabling and need factors operating at both individual and contextual domains [23, 24].
The multilevel logistic regression model tested the direct effects of inmate predisposing, enabling, and need factors on health service use and the indirect effects of inmate predisposing factors on health service use through need.
Individuals exhibit predisposing, enabling, and need characteristics, all of which interact with the forces in the broader system and yield the ecological screening rates and other compositional factors that we observe for counties.
Findings indicate that a number of inmate predisposing (age, race, education) and vulnerability (mood/anxiety disorder,) characteristics are associated with use of health services but are partially mediated by enabling and need factors.
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