lecture 17 - access Flashcards
access definition
the end result of a process flowing from predisposing characteristics and enabling resources (“potential” access), through need (evaluated and perceived), to ultimate health outcomes (health status and satisfaction)
access set of dimensions defintion
access is viewed as a set of 5 more specific areas of fit between the patient and the health care system
accessibility
affordability
accommodation
acceptability
availability
availability definition - existence of services barriers
the relationship of the volume and type of existing services and resources to the clients’ volume and type of need
availability questions
3 satisfied 1 confidence
-all things considered, how much confidence do you have in your ability to get good medical care for you and your family when you need it?
-how satisfied are you with your ability to find one good doctor to treat your whole family
-how satisfied are you with your knowledge of where to get health care
-how satisfied are you with your ability to get medical care in an emergency
accommodation defintion - organisational barriers
the relationship between the manner in which supply resources are organised and the expectations of clients
accommodation questions
4 satisfied with how…
-how satisfied are you with how long you have to wait to get an appointment
-how satisfied are you with how long you have to wait in the waiting room
-how satisfied are you with how convenient physicians’ office hours are
-how satisfied are you with how easy it is to get in touch with your physician(s)
acceptability definition
the relationship between clients’ and providers’ attitudes to what constitutes appropriate care
acceptability questions - psychosocial barriers
3 satisfied with… doctors’ offices
-how satisfied are you with the appearance of your doctors’ offices
-how satisfied are you with the neighbourhood doctors’ offices are in
-how satisfied are you with the other patients you usually see at doctors’ offices
accessibility definition
the relationship between the location of supply and the location of clients, taking account of client transportation resources and travel time distance and cost
accessibility questions - geographical barriers
1 satisfied 1 difficult
-how satisfied are you with how convenient your physicians’ offices are from your home
-how difficult is it for you to get to your physicians’ offices
affordability definition - financial barriers
the cost of provider services in relation to the clients’ ability and willingness to pay for these services
affordability questions
3 satisfied
-how satisfied are you with your health insurance
-how satisfied are you with the cost the physicians’ prices
-how satisfied are you with how soon your need to pay your bill
application of 5 dimensions to titanic
availability - not enough life boats
accommodation - can life boats be lowered faster
acceptability - social values save women and children
accessibility - far from lifeboats prevented by many barriers
affordability - higher classes paid more money to be on higher floors so closer to lifeboats
affordability direct cost vs indirect cost
direct - cost of service
indirect - money lost from accessing the service (e.g time taken off work to see doctor)
