Lecture 16: Impact of Access Flashcards
(17 cards)
What are the 5 A’s of access?
Access is viewed as a set of more specific areas (dimensions of access) of fit between the patient and the health care system.
Availability
Accessibility
Accommodation
Affordability
Acceptability
What is availability?
Availability (Existence of Services Barriers)
The relationship of the volume and type of existing services (and resources) to the clients’ volume and type of needs
What are example question of availability?
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?
What is accommodation?
Accommodation (Organisational Barriers)
The relationship between the manner in which supply resources are organised and the expectation of clients.
What are example questions of accommodation?
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)?
What is acceptability?
Acceptability (Psychosocial Barriers)
The relationship between clients’ and providers’ attitudes to what constitutes appropriate care.
What are example questions of acceptability?
o How satisfied are you with the appearance of the doctor’s offices?
o How satisfied are you with the neighbourhoods their offices are in?
o How satisfied are you with the other patients you usually see at the doctors’ offices?
What is accessibility?
Accessibility (Geographic Barriers)
The relationship between the location of supply and the location of clients, taking account of client transportation resources and travel time, distance and cost.
What are example questions of accessibility?
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?
What is affordability?
Affordability (Financial Barriers)
The cost of provider services in relation to the client’s ability and willingness to pay for these services.
What are example questions of affordability?
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?
What are examples of availability?
– Types of health services available
– Not all services are recognized and subsidized by ACC
– Lack of knowledge of the services and eligibility of
ACC (Potential and Realized Access)
What are examples of accessibility?
– Transportation for the elderly
What are example of affordability?
– Direct cost vs Indirect cost
– GP surcharge
– Value of cost
What are examples of accommodation?
– Opening hours of the services
* Cost more for after hours services
– Interpretation services
What are examples of acceptability?
– Use of interpreter
– Health beliefs
* What is a serious injury?
– Cultural appropriate services vs guidelines
What is evaluated need vs perceived need?
Perceived need refers to an individual’s own judgment about the necessity or benefits of a particular service
Evaluated need is based on a clinical or screening evaluation of an individual’s level of impairment in a specific area pertinent to each service.
