Abstract
The Behavior Model of Health Services Use, initially developed by Andersen (1968) and later modified, in collaboration with Newman, Aday, and other researchers, has evolved over the last fifty years. The most recent model (2008) suggests that the individual and contextual characteristics, the healthcare environment, and the individual health behaviors, impact healthcare outcomes. The purpose of this study is to revisit and empirically test the model, utilizing the data from the 2018 Center for Disease Control's (CDC) annual National Health Interview Survey (NHIS). The dataset included 46,500 household survey responses, 72,831 individual responses, and 30,309 family responses; yet, after the cleansing process, 21,020 individual survey responses were used.
Utilizing structural equation modeling analysis, the data indicate that demographic characteristics have a significant impact on health behaviors, use of health services, and overall consumer satisfaction with health services. Furthermore, it was found that there were significant relationships among such factors, as individual health practices, health services use, and overall consumer satisfaction. Utilizing the 2018 CDC NHIS database, Andersen’s model (2008) is mostly supported.