PMID: 9186962Jun 1, 1997Paper

Predicting treatment-seeking behavior in Guatemala: a comparison of the health services research and decision-theoretic approaches

Medical Anthropology Quarterly
S C WellerR E Klein

Abstract

This study attempts to identify and describe factors associated with the choice of a health care source in rural Guatemala. Because of limited choice options, rural Guatemala makes an excellent location for studying the factors that affect utilization patterns. Illness case histories were collected from a random sample of 270 households in six villages. Then, two different methodological approaches were used to predict treatment actions. First, a sociobehavioral model, which encompasses enabling, predisposing, and need factors, was used to predict treatment choices. Using discriminant analysis we identified factors associated with the use of home remedies, a pharmacy, the health post, a physician, or folk healer. In a second, parallel study, descriptive interviews were used to identify important factors in choosing a treatment strategy. From these interviews, and from responses to hypothetical illness cases, we developed a decision model of treatment actions. Both models were tested against the set of illness cases. Results indicate that both approaches identify similar variables (especially, severity), although selection of variables through the multivariate analysis was much more successful in predicting treatment actions.

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Citations

Oct 18, 2002·Social Science & Medicine·Noreen GoldmanMichele Gragnolati
Jan 8, 2000·Social Science & Medicine·P Heuveline, N Goldman
May 31, 2012·Qualitative Health Research·Elyse ShukJennifer L Hay
Aug 8, 2001·Journal of Advanced Nursing·B L PatersonS Thorne
May 7, 2002·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·L Purnell

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