How older persons structure information in the decision to seek medical care
Typical models of the decision to seek care consider information as a single conceptual object. This paper presents an alternative that allows multiple objects. For older persons seek ing care, results support this alternative. Older decision-makers that segregate information into multiple conceptual objects assessed sep arately are characterized by socio-demograph ic (younger age, racial category, non-Hispanic, higher education, higher income, and not mar ried), health status (better general health for men and worse general health for women, fewer known illnesses), and neuropsychologi cal (less memory loss for men, trouble concen trating and trouble making decisions for men) factors. Results of this study support the con clusion that older persons are more likely to integrate information, and individuals with identifiable characteristics are more likely to do so than others. The theory tested in this study implies a potential explanation for misu tilization of care (either over or under-utiliza tion).
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