Generalizability | Applicable to a variety of conditions | May be overly simplified to apply in all circumstances | Thought to be applicable to other chronic health conditions | Derived only from participants with diabetes |
Endogeneity | By separating the investment and consumption demand for health, it is able to account for endogeneity | - | - | Unable to tease apart reverse causation between socioeconomic position and health |
Definition of socioeconomic status/position | - | Narrow: considers income only | Broad: considers a multitude of factors | Does not consider psychosocial variables |
Evidence/empiric support | Many studies support model | Some studies refute certain aspects of model | One recent study validates several components of framework | No other studies support framework |
Ability to use for prediction | Simplified model allows one to assess how changes in 1 variable will affect demand for health | Overemphasizes individuals' agency without consideration of their circumstances | - | Model too complex to be used to predict health-care-seeking behaviours |
Possible result of using framework/model to understand financial barriers | - | Victim blaming: does not acknowledge the social determinants of one's willingness to pay for services | - | Fatalism: has such a complex view of how socioeconomic position contributes to health care access that it is difficult to create interventions to address these barriers |