L20 Impact of access on population health Flashcards
What is access?
Access is viewed as a set of more specific areas (dimensions of access) of fit between the patient and the health care system
What are the 5 dimensions of access?
Accessibility Affordability Accommodation Acceptability Availability
What is availability?
The relationship between the volume and type of existing services (and resources) to the clients’ volume and type of needs
What is accomodation?
The relationship between the manner in which supply resources are organised and the expectation of clients
What is acceptability?
The relationship between clients and providers attitudes to what constitutes appropriate care
What is accessibility?
Geographic barriers - relationship between the location of supply and the location of clients - transport, time, cost
What is affordability?
The cost of provider services in relation to the ability and willingness of the client to pay for the services
What is the difference between potential and realised access?
Potential access refers to the actual availability of a medical service whereas realised access takes into the account whether the patient is aware of the existence of such services
What A applies? - I didn’t know how to access the medical service
Availability - although the services are present and enough volume pertaining to the client’s needs, the client is unaware of how to access (only potential access)
What A applies? - I had no transport to get there
Accessibility - geographical barrier
What A applies? - I could not get an appointment
Accomodation - problem between how the medical services are organised and what the client expects
What A applies? - I could not get in touch with the health professional I usually see
Acceptability - problem between the clients and health care idea of appropriate care
What A applies? - I could not be bothered
Acceptability - client ideals does not match health care
What A applies? - I did not feel comfortable with the person
Acceptability - client feels service is inappropriate
What A applies? - the staff were unfriendly
Acceptability - client feels service is inappropriate