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Healthcare avoidance: a critical review
1Cancer Screening Project, Cooper University Hospital, Camden, New Jersey 08066, USA. skb28@drexel.edu
Holistic Nursing Practice
|September 2, 2008
Summary
Healthcare avoidance is common and influenced by many factors like distrust and insurance status. More research is needed to identify at-risk patients and develop interventions for better healthcare access.
Area of Science:
- Health Services Research
- Behavioral Science
- Public Health
Background:
- Healthcare avoidance is a prevalent and varied phenomenon impacting adult healthcare behaviors.
- Existing theoretical frameworks include the Theory of Reasoned Action, Theory of Planned Behavior, Theory of Care-Seeking Behavior, the Transtheoretical Model, and the Behavioral Model of Health Services Use/Utilization.
Purpose of the Study:
- To critically review and synthesize literature on healthcare avoidance.
- To identify factors influencing healthcare avoidance and delay in adults.
- To propose future research directions.
Main Methods:
- Systematic review of research literature from 1995-2007 using CINAHL, MEDLINE, PSYCH INFO, and HAPI databases.
- Studies were organized by professional disciplines.
- Theoretical frameworks were used to contextualize healthcare-seeking intentions.
Main Results:
- Healthcare avoidance is influenced by administrative, demographic, personal, and provider factors.
- Examples of influencing factors include distrust in providers/science, health beliefs, insurance status, and socioeconomic level.
- Limited research exists on the impact of avoidance on healthcare decision-making.
Conclusions:
- Systematic research is needed to identify correlates of healthcare avoidance.
- Identifying at-risk patients is crucial for developing health-promoting interventions.
- Methodological challenges include identifying hindering factors and measuring healthcare avoidance complexity.
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