Flashcards in Lecture 19: Impact Of Access Deck (55)
What is the working definition of "access"?
"Access is viewed as a set of more specific areas of fit between a patient and the health care system"
What are the 5 areas of access?
What is the definition of availability?
"The relationship of the volume and type of existing services (and resources) to the clients' volume and type of need"
So supply and demand
How much confidence do you have in being able to get good medical care for you and your family when you need it?
How satisfied are you with being able to find one good doctor to treat the 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?
What data suggests a (lack of) availability of health care?
Maori vs non-Maori ischaemic heart disease graph
Aka organisational barriers
"The relationship between the manner in which supply resources are organised and the expectations of clients"
How satisfied are you with how long you have to wait to get an appointment?
How satisfied are you with how convenient physicians office hours are?
How satisfied are you with how long you have to wait in the waiting room?
How satisfied are you with how easy it is to get in touch with your physician?
Aka psychological barriers
"The relationship between clients' and providers' attitudes to what constitutes appropriate care"
How satisfied are you with the appearance of the doctor's office?
How satisfied are you with the neighbourhoods the doctor's office is in?
How satisfied are you with the other patients you usually see in the doctor's office?
Aka geographical resources
"The relationship between the location of supply and the location of clients, taking into account client transportation resources and travel time, distance and cost"
How satisfied are you with how convenient your physician's offices are to your home?
How difficult is it for you to get to your physician's office?
Aka financial barriers
"The cost of provider services in relation to the client's ability and willingness to pay for these services"
How satisfied are you with your health insurance?
How satisfied are you with the doctor's prices?
How satisfied are you with how soon you need to pay the bill?
What type of surveys were the youth2000 surveys?
Cross sectional, with random secondary school students
"I don't know how to"
"I had no transport to get there"
"I couldn't get an appointment"
"I couldn't get in touch with the health care professional or person I usually see"