Lecture 20. Impact of accessibility on Pop.Health

Question 1

What are the 5 A’s of Access?

Answer 1

 Availability
 Accessibility
 Accommodation
 Affordability
 Acceptability

Question 2

Availability

Answer 2

The relationship of the volume and type of existing services
(and resources) to the clients’ volume and type of needs

o All things considered, how much confidence do you have in being able to
get good medical care for you and your family when you need it?
o How satisfied are you with your ability to find one good doctor to treat
the whole family?
o How satisfied are you with your knowledge of where to get health care?
o How satisfied are you with your ability to get medical care in an
emergency?

Question 3

Accommodation

Answer 3

The relationship between the manner in which supply
resources are organised and the expectation of clients.
o How satisfied are you with how long you have to wait to get an
appointment?
o How satisfied are you with how convenient physicians’ office hours are?
o How satisfied are you with how long you have to wait in the waiting
room?
o How satisfied are you with how easy it is to get in touch with your
physician(s)?

Question 4

Acceptability

Answer 4

The relationship between clients’ and providers’ attitudes to
what constitutes appropriate care.
o How satisfied are you with the appearance of the doctor’s offices?
o How satisfied are you with the neighborhoods their offices are in?
o How satisfied are you with the other patients you usually see at the
doctors’ offices?

*cultural appropriate services vs guidelines

Question 5

Accessibility

Answer 5

The relationship between the location of supply and the location of clients, taking account of client transportation resources and travel time, distance, and cost.
o How satisfied are you with how convenient your physician’s offices are to
your home?
o How difficult is it for you to get your physician’s office?

Question 6

Affordability

Answer 6

The cost of providing services in relation to the client’s ability
and willingness to pay for these services.
o How satisfied are you with your health insurance?
o How satisfied are you with the doctors’ prices?
o How satisfied are you with how soon you need to pay the bill?

Question 7

Application of 5 As to ACC

Answer 7

• Availability:
• Not all services are recognized and subsidized by ACC
• Lack of knowledge of the services and eligibility of ACC( potential vs realized access)
• Accessibility:
• Transportation for the elderly
• Affordability:
• Direct vs Indirect cost(time taken off work, travel)
• GP surcharge
• Value of cost( is it worth it?)
• More expensive after hrs?
• Accommodation
• Opening hrs of the services( after hrs?)
• Interpretation of the services
• Acceptability
• Use of interpreter
• Health beliefs( what is a serious injury?)
• Cultural appropriate services vs guidelines