Access to substance abuse treatment in the Cape Town metropole ...
Access to substance abuse treatment in the Cape Town metropole ...
Access to substance abuse treatment in the Cape Town metropole ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
CONCEPTUAL MODELThis study’s conceptual model (Figure 1) is an adaptation of <strong>the</strong> BehaviouralModel of Health Services Utilization (BHSU) (Andersen, 1995). The BHSU is awell-established framework for understand<strong>in</strong>g <strong>the</strong> determ<strong>in</strong>ants of health careaccess and cont<strong>in</strong>ues <strong>to</strong> be a relevant and revolv<strong>in</strong>g model <strong>in</strong> health servicesresearch (Aday & Awe, 1997). This model adopts a systems approach that<strong>in</strong>tegrates a range of <strong>in</strong>dividual, contextual and provider-related variablesassociated with <strong>the</strong> use of health services (Phillips et al., 1998).Figure 1.Conceptual model of access <strong>to</strong> <strong>treatment</strong> based on <strong>the</strong> BHSUEnvironmentHealth system• Policy• Resources• OrganizationSubstance<strong>abuse</strong><strong>treatment</strong>system• Policy• Resources• OrganizationExternalenvironment• Power• His<strong>to</strong>ricaland political<strong>in</strong>fluences• Economics• PolicyPopulationCharacteristicsPredispos<strong>in</strong>gattributes• Demographic• Socialstructure• Health beliefs• SocialcognitiveEnabl<strong>in</strong>gattributes• Personal• Community• ProviderNeed• Perceivedneed (<strong>in</strong>ternal)• Perceivedneed (external)• EvaluatedneedHealth behaviourUse of <strong>substance</strong><strong>abuse</strong> <strong>treatment</strong>services• Type• Site• Purpose• Frequency14