Revisiting the behavioral model and access to medical care: does it matter?

@article{Andersen1995RevisitingTB,
  title={Revisiting the behavioral model and access to medical care: does it matter?},
  author={Ronald M. Andersen},
  journal={Journal of health and social behavior},
  year={1995},
  volume={36 1},
  pages={
          1-10
        }
}
  • R. Andersen
  • Published 1 March 1995
  • Psychology
  • Journal of health and social behavior
The Behavioral Model of Health Services Use was initially developed over 25 years ago. In the interim it has been subject to considerable application, reprobation, and alteration. I review its development and assess its continued relevance. 
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Societal and individual determinants of medical care utilization in the United States.

  • R. AndersenJ. Newman
  • Medicine, Political Science
    The Milbank Memorial Fund quarterly. Health and society
  • 1973
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  • D. Mechanic
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  • 1979
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Healthy people 2000.

  • L. Sullivan
  • Medicine
    The New England journal of medicine
  • 1990
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