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Table 5 The association between predisposing factors, enabling factors, need factors, and the utilization of health service 2010 − 2020: estimated from spatial panel data models

From: Determinants of province-based health service utilization according to Andersen’ s Behavioral Model: a population-based spatial panel modeling study

Variable

 

Direct

Indirect

Total

Resident hospitalization rate

 Predisposing factor

Sex ratio

-0.01(0.05)

0.08(0.19)

0.07(0.22)

Minority Ratio

0.03(0.01)

0.02(0.06)

0.05(0.07)

Proportion of 65-year-olds

0.34(0.01) **

-0.83(0.27) **

-0.50(0.32)

Illiteracy rate

-0.04(0.08)

1.39(0.37) ***

1.34(0.42) **

Average household size

0.58(0.68)

-0.43(1.63)

1.50(1.83)

 Enabling factors

Ln (GDP per capita)

1.93(0.60) **

4.46(1.19) ***

6.39(1.52) ***

Percentage of medical insurance participants

0.02(0.01)**

-0.06(0.02)***

-0.04(0.02)*

Urbanization rate

-0.16(0.05) **

0.01(0.16)

-0.15(0.18)

Health resources index

2.09(0.311) ***

1.60(0.87)*

3.69(1.02) ***

 Need factors

Life Expectancy

-0.05(0.19)

-0.04(0.71)

-0.09(0.85)

Perinatal mortality

-0.22(0.13)

-0.89(0.43)*

-1.11(0.52)*

The average number of outpatient visits per year

 Predisposing factor

Sex ratio

0.04 (0.02)

0.06(0.09)

0.09(0.11)

Minority Ratio

-0.01 (0.01)

0.04(0.03)

0.03(0.03)

Proportion of 65-year-olds

-0.01(0.04)

-0.49(0.13) ***

-0.50(0.15) **

Illiteracy rate

0.08(0.03)*

0.68(0.18)***

0.76(0.20)***

Average household size

-0.04(0.27)

-1.57(0.76)*

-1.61(0.86)

 Enabling factors

Ln (GDP per capita)

1.29(0.25) ***

2.50(0.54)***

3.79(0.68)***

Percentage of medical insurance participants

0.01(0.01)

-0.02(0.01)

-0.01(0.01)

Urbanization rate

0.03(0.02)

-0.06(0.08)

-0.04(0.09)

Health Resources

0.13(0.14)

0.35(0.41)

0.49(0.49)

 Need factors

Life Expectancy

0.10(0.08)

0.36(0.31)

0.47(0.37)

Perinatal mortality

-0.01(0.05)

-0.24(0.20)

-0.25(0.23)

  1. * P < 0.05 ** P < 0.01 *** P < 0.001