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. 2018 Jun 18;18:462. doi: 10.1186/s12913-018-3271-y

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© The Author(s). 2018

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — The simplified Anderson health service utilization model. Health service seeking behaviors (seek health service or not) is determined by three dynamics: predisposing (demographic and social structure), enabling (individual, family and community resources), and need variances (the degree of symptom, chronic disease and self-evaluation general health)