The Model of Pathways to Treatment: Conceptualization and integration with existing theory

被引：248

作者：

Scott, S. E. ^{[1
]}

Walter, F. M. ^{[2
,3
]}

Webster, A. ^{[3
]}

Sutton, S. ^{[4
]}

Emery, J. ^{[2
,3
]}

机构：

[1] Kings Coll London, Inst Dent, Unit Social & Behav Sci, Dent Practice & Policy Dept, London SE5 9RW, England

[2] Univ Cambridge, Primary Care Unit, Cambridge CB2 1TN, England

[3] Univ Western Australia, Sch Primary Aboriginal & Rural Hlth Care, Nedlands, WA 6009, Australia

[4] Univ Cambridge, Inst Publ Hlth, Behav Sci Grp, Cambridge CB2 1TN, England

来源：

BRITISH JOURNAL OF HEALTH PSYCHOLOGY | 2013年 / 18卷 / 01期

关键词：

HELP-SEEKING BEHAVIOR; HEALTH BELIEF MODEL; COMMON-SENSE MODEL; CANCER-DIAGNOSIS; PREHOSPITAL DELAY; DECISION-MAKING; ANDERSENS MODEL; SEX-DIFFERENCES; PATIENT DELAY; CARE-SEEKING;

D O I：

10.1111/j.2044-8287.2012.02077.x

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background. Studying and understanding pathways to diagnosis and treatment is vital for the development of successful interventions to encourage early detection, presentation, and diagnosis. An existing framework posited to describe the decisional and behavioural processes that occur prior to treatment (Andersen et al.'s General Model of Total Patient Delay) does not appear to match the complex and dynamic nature of the pathways into and through the health care system or provide a clear framework for research. Therefore a revised descriptive framework, the Model of Pathways to Treatment, has been proposed. Purpose. This paper presents the concepts and definitions of the Model of Pathways to Treatment and specifies how the model can encompass existing psychological theory, with particular focus on the Appraisal and Help-seeking intervals. The potential and direction for future work is also discussed.

引用

页码：45 / 65

页数：21

共 101 条

[1] 'It was not chest pain really, I can't explain it'! An exploratory study on the nature of symptoms experienced by women during their myocardial infarction [J].