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The Gerontologist 1994 34(4):470-475; doi:10.1093/geront/34.4.470
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© 1994 The Gerontological Society of America

Health Services Utilization Among Older Adults: Conceptual, Measurement, and Modeling Issues in Secondary Analysis1

Fredric D. Wolinsky, PhD2


  Abstract

Much is written about the use of health services by older adults. Many such studies involve secondary analyses of existing data sources and rely on the behavioral model of health services utilization as the conceptual framework. This essay suggests that for both independent and dependent variables, severe shortcomings in the breadth and depth of the available data, and the numbers of intervals at which data have been recorded, continue to limit our understanding of the use of health services by older adults.

Keywords: Public use data, Health behavior, Epidemiology

Received January 5, 1994; Accepted May 8, 1994

1 This work was supported in part by NIH research grant R37-AC-09692 to Dr. Wolinsky. The views and opinions expressed here are those of the author and do not reflect the official policy or position of either the Indiana University School of Medicine, the National Institutes of Health, or the National Archive of Computerized Data on Aging.

2 Address correspondence to Dr. Fredric D. Wolinsky, Department of Medicine, Indiana University School of Medicine, 5th Floor, Regenstrief Health Center, 1001 West Tenth Street, Indianapolis, IN 46202-2859.


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