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Table 3 Newly emergent and modified dimensions to Andersen’s expanded behavioral model (insert after third paragraph in results)

From: Adapting Andersen’s expanded behavioral model of health services use to include older adults receiving long-term services and supports

Factors

Domains

Major Themes and their Dimensions

Psychosocial

Attitudes

Care Providers

Technical Expertise

Affordability

Perceived expense

Social Environment

Social interaction

Activity Level

Familiarity

Diversity

Self-determination

Independence

Knowledge

Content and Amount of Information

Sources of Information

Family/friends/^self-

Medical professionals

Accessibility of Information

Social Norms

Referents

Spouse, ^family, children, ^self

Friends, neighbors

Social workers, ^nurse, clergy, doctors, lawyers, ^other professionals, ^they

Relevant Norms

Family burden

*Expectations of care

^Losses and changes

Perceived Control-

Role of Choice

Decision maker-split into 4 layers

^Autonomous decision

^Collaborative decision

^Paternalistic decision

^Placement

^Unsure or forgot how decision was made

Alternatives

Planning for Future Needs

Financial planning

Psychological planning

Enabling

Availability of Support

Formal Services

Openings at facilities/waiting lists

Proximity

^Tangible Support

Informal Support

Ability to provide support- split into 2 layers

Proximity

Capability

^Accessibility of informal support

Financial Resources

Financial Well-being

Assets

Protection against Risk

Insurance

Need

Objective/Perceived

Degree of Disability

*Functional health

Duration of Disability

*Functional health

  1. Note: Dimensions with ^ were newly emerging; dimensions with * were newly modified (<=1 respondent)