Lecture 17 Accessibility Flashcards
What is Access?
A set of more specific areas of fit between the patient and the healthcare system
What is accessibility and the questions used to measure this dimension?
Accessibility is relationship between location of supply and location of clients, takes into account of client transportation resources and travel time, distance and cost.
- How satisfied are you with how convenient it is to your physicians office from your home?
- How difficult is it for you to get to your physicians office?
What is accomodation and the questions used to measure this dimension?
The relationship between the manner in which supply resources are organized and the expectation of clients.
- How satisfied are you with how long you have to wait to get an appointment?
- How satisfied are you with how convenient physicians’ office hours are?
- How satisfied are you with how long you have to wait in the waiting
room?
- How satisfied are you with how easy it is to get in touch with your
physician(s)?
What is acceptability and the questions used to measure this dimension?
The relationship between clients and providers attitudes to what constitutes appropriate care.
- How satisfied are you with the appearance of the doctors office?
- How satisfied are you with the neighbourhoods of the doctors office?
- How satisfied are you with other patients in the doctors office?
What is afforability and the questions used to measure this dimension?
The cost of provider services in relation to the client’s ability and willingness to pay for these services.
and willingness to pay for these services.
- How satisfied are you with your health insurance?
- How satisfied are you with the doctors’ prices?
- How satisfied are you with how soon you need to pay the bill?
What is availability and the questions used to measure this dimension?
Availability is the relationship of the volume and type of existing services (and resources) to the clients volume and type of needs
- How confident are you with your ability to access quality healthcare for you and your family?
- How satisfied are you with your ability to find one good doctor to treat the whole family?
- How satisfied are you with your knowledge of where to get good healthcare?
- How confident are you with your ability to get medical care during an emergency?
How can the 5 dimensions of access be applied to the Titanic?
Availability: There were not enough lifeboats for everyone
Accomodation: The lifeboats were lowered very slowly
Accessibility: There were lots of barriers to reaching the lifeboats
Acceptability: The social norms meant women were more likely to survive
Affordability: First class passengers were closer to the surface, meaning that they were more likely to reach the lifeboats and survive
What is potential and realised access?
Potential access refers to the availability of healthcare services to a person. Realised access, on the other hand, refers to the actual use of healthcare services. Can be determined by the individual’s perception of their need for care, their knowledge about the services available, their comfort level with the healthcare system and their ability to navigate the system
