Lecture 29: Accessibility impact Flashcards
List 5 key dimensions of access
Availability, Accomodation, Acceptability, Accessibility, and Affordability
Define Availability :
Existence of services
The relationship between the volume and the type of existing services to the client and the type of needs.
Eg. Does the patient know where to get healthcare, can it treat everyone, subsidised
Define Accomodation
Organisational
Relationship between manner of organising supply resources to accept clients and client expectations, perception of their Appropriateness and ability to accomodate them. Eg. convenience and waiting time, opening hours
Define Acceptability
Psychosocial
The relationship between client’s and providers attitudes to what constitutes appropriate care
Eg. Health beliefs: what is a serious injury -> appearance, culturally appropriate, interpreter
Define Accessibility
Geographical
The relationship between the location of supply and the location of clients, taking into account of client transportation resources, travel time, distance and cost.
Eg. physical getting to the clinic
Define Affordability
Financial
The cost of provider services in relation to client ability and willingness to pay for these services.
Eg. directs prices + indirect cost
What is the difference between potential access and realised access
Potential access is the services available for people to potentially use while Realised access is how many people actually utilise the services.
What is the inverse care law- reading
The availability of good medical care tends to vary inversely with the need of the population served
What causes the inverse care law
The influence on the market- economy on access to health services via capitalist view rather than more communist.
What is the point of this lecture: What is access
Access is the degree of ‘fit’ between the patient and the health care system-> the relationship between the consumer and the provider what they both have and what they bring to the table. It is a determinant of health.
