L20 Impact of access on population health Flashcards

1
Q

What is access?

A

Access is viewed as a set of more specific areas (dimensions of access) of fit between the patient and the health care system

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2
Q

What are the 5 dimensions of access?

A
Accessibility
Affordability
Accommodation
Acceptability
Availability
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3
Q

What is availability?

A

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

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4
Q

What is accomodation?

A

The relationship between the manner in which supply resources are organised and the expectation of clients

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5
Q

What is acceptability?

A

The relationship between clients and providers attitudes to what constitutes appropriate care

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6
Q

What is accessibility?

A

Geographic barriers - relationship between the location of supply and the location of clients - transport, time, cost

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7
Q

What is affordability?

A

The cost of provider services in relation to the ability and willingness of the client to pay for the services

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8
Q

What is the difference between potential and realised access?

A

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

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9
Q

What A applies? - I didn’t know how to access the medical service

A

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)

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10
Q

What A applies? - I had no transport to get there

A

Accessibility - geographical barrier

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11
Q

What A applies? - I could not get an appointment

A

Accomodation - problem between how the medical services are organised and what the client expects

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12
Q

What A applies? - I could not get in touch with the health professional I usually see

A

Acceptability - problem between the clients and health care idea of appropriate care

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13
Q

What A applies? - I could not be bothered

A

Acceptability - client ideals does not match health care

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14
Q

What A applies? - I did not feel comfortable with the person

A

Acceptability - client feels service is inappropriate

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15
Q

What A applies? - the staff were unfriendly

A

Acceptability - client feels service is inappropriate

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16
Q

What A applies? - cost too much

A

Affordability - customer is unable or not willing to pay a certain amount to receive health care

17
Q

What is the difference between accommodation and availability?

A

The way in which the service is provided - accommodation refers to the relationship between the organising of service and resources to client expectations whereas availability refers to the relationship between volume and type of service available and customer needs