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Table 4 Quantification of factors, domain, themes, and dimensions through classical analysis (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

Major Factors, Domains, Themes and their Dimensions

NH = 154

AL = 156

HCBS = 151

White (n = 50)

AA (n = 96)

Other (n = 8)

White (n = 146)

AA (n = 3)

Other (n = 7)

White (n = 40)

AA (n = 60)

Other (n = 51)

PSYCHOSOCIAL

50

99

7

227

5

6

43

63

42

Attitudes

13

17

1

43

0

0

15

14

20

 Care Providers

9

11

1

16

0

0

10

6

18

  Technical Expertise

9

11

1

16

0

0

10

5

18

  Interpersonal Skill

0

0

0

0

0

0

0

1

0

 Affordability

1

0

0

3

0

0

1

1

0

  Perceived expense

1

0

0

3

0

0

1

1

0

  Home Ownership

0

0

0

0

0

0

0

0

0

 Social Environment

2

6

0

11

0

0

2

6

1

  Social interaction

1

3

0

8

0

0

2

5

0

  Activity Level

0

1

0

0

0

0

0

1

1

  Familiarity

0

1

0

3

0

0

0

0

0

  Diversity

1

1

0

0

0

0

0

0

0

 Self-determination

1

0

0

8

0

0

2

1

1

  Privacy

0

0

0

0

0

0

0

0

0

  Dignity

0

0

0

0

0

0

0

0

0

  Independence

1

0

0

8

0

0

2

1

1

Knowledge

0

3

0

4

0

0

7

11

0

 Content and Amount of Information

0

0

0

1

0

0

0

1

0

  Service types provided

0

0

0

1

0

0

0

0

0

  Eligibility rules

0

0

0

0

0

0

0

1

0

  Legal/regulatory issues

0

0

0

0

0

0

0

0

0

  Financial coverage

0

0

0

0

0

0

0

0

0

 Sources of Information

0

3

0

3

0

0

6

9

0

  Family/friends/SELF-

0

3

0

3

0

0

1

4

0

  Lawyers

0

0

0

0

0

0

0

0

0

  Medical professionals

0

0

0

0

0

0

5

5

0

  Clergy

0

0

0

0

0

0

0

0

0

 Accessibility of Information

0

0

0

0

0

0

1

1

0

  Attainability

0

0

0

0

0

0

1

1

0

  Comprehensibility

0

0

0

0

0

0

0

0

0

Social Norms

11

20

1

81

2

1

11

20

13

 Referents-

4

12

1

42

0

1

10

17

8

  Spouse, *FAMILY, children, *SELF

3

7

0

28

0

1

2

6

4

  Friends, neighbors

0

1

1

2

0

0

0

0

1

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

1

4

0

12

0

0

8

11

3

 Relevant Norms

7

8

0

39

2

0

1

3

5

  Family burden

1

2

0

11

0

0

1

0

0

  Expectations of care

3

1

0

9

1

0

0

2

5

  *Losses and changes

3

5

0

19

1

0

0

1

0

Perceived Control

26

59

5

104

3

5

10

18

9

 Role of Choice

25

59

5

89

2

4

5

11

7

  Decision maker-split into 4 layers

21

51

4

79

2

4

3

9

2

   Autonomous decision

3

1

1

32

1

0

1

4

0

   Collaborative decision

3

4

0

23

0

1

0

1

0

   Paternalistic decision

9

19

0

18

0

2

2

2

1

   Unsure/forgot how decision was made

3

3

2

3

1

1

0

2

0

   Placement

3

24

1

3

0

0

0

0

1

  Alternatives

4

8

1

10

0

0

2

2

5

 Planning for Future Needs

1

0

0

15

1

1

5

7

2

  Financial planning

0

0

0

0

0

0

0

0

0

  Psychological planning

0

0

0

0

0

0

0

0

0

ENABLING

10

19

1

37

2

1

9

12

9

Availability of Support

8

16

1

37

3

1

8

10

9

 Formal Services

4

8

0

23

1

1

7

9

6

  Openings at facilities/waiting lists

2

0

0

4

0

0

0

2

0

  Hours of operation

0

0

0

0

0

0

0

0

0

  Proximity

2

4

0

10

0

0

0

0

0

  Tangible Support

0

4

0

9

1

1

7

7

6

 Informal Support

4

8

1

14

2

0

1

1

3

  Willingness to provide support

1

0

1

0

0

0

0

0

0

  Ability to provide support- split into 2 layers

2

7

0

13

1

0

1

1

2

   Proximity

0

0

0

2

1

0

0

0

0

   Capability

2

7

0

11

0

0

1

1

2

 Accessibility of informal support

1

1

0

1

1

0

0

0

1

Financial Resources

2

3

0

0

0

0

1

1

0

 Financial Well-being

0

2

0

0

0

0

1

0

0

  Income

0

1

0

0

0

0

0

0

0

  Assets

0

1

0

0

0

0

1

0

0

 Protection against Risk

2

1

0

0

0

0

0

1

0

  Insurance

2

1

0

0

0

0

0

1

0

NEED

18

47

3

70

1

2

15

30

32

Objective/Perceived Need

18

47

3

70

1

2

15

30

32

 Degree of Disability

         

  Functional health

18

44

3

70

1

2

15

30

32

 Duration of Disability

         

  Functional health

0

3

0

0

0

0

0

0

0

  1. Note. Three Hispanic participants had missing data for race- participants did not provide any information on any race; Placement included transferred/sent from facility/taken from home/put. Hispanic ethnicity and race were not mutually exclusive in this Table. NH nursing home, AL assisted living, HCBS home and community-based service; AA African-American. *Newly emergent dimensions