Journal ArticleDOI
The concept of access: definition and relationship to consumer satisfaction.
R Penchansky,J W Thomas +1 more
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Results provide strong support for the view that differentiation does exist among the five areas and that the measures do relate to the phenomena with which they are identified.Abstract:
Access is an important concept in health policy and health services research, yet it is one which has not been defined or employed precisely. To some authors "access" refers to entry into or use of the health care system, while to others it characterizes factors influencing entry or use. The purpose of this article is to propose a taxonomic definition of "access." Access is presented here as a general concept that summarizes a set of more specific dimensions describing the fit between the patient and the health care system. The specific dimensions are availability, accessibility, accommodation, affordability and acceptability. Using interview data on patient satisfaction, the discriminant validity of these dimensions is investigated. Results provide strong support for the view that differentiation does exist among the five areas and that the measures do relate to the phenomena with which they are identified.read more
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Patient-centred access to health care: conceptualising access at the interface of health systems and populations
TL;DR: This paper explains the comprehensiveness and dynamic nature of this conceptualisation of access to care and identifies relevant determinants that can have an impact on access from a multilevel perspective where factors related to health systems, institutions, organisations and providers are considered with factors at the individual, household, community, and population levels.
Journal ArticleDOI
Patient satisfaction in primary health care: a literature review and analysis.
TL;DR: It is concluded that patient satisfaction information can provide a dependent measure of service quality and serves as a predictor of health-related behavior.
Journal ArticleDOI
Spatial accessibility of primary care: concepts, methods and challenges
TL;DR: Basic concepts and measurements of access are explained, some historical background is provided, the major questions concerning geographic accessibility of primary care are outlined, recent developments in GIS and spatial analysis are described, and examples of promising work are presented.
Journal ArticleDOI
Poverty and access to health care in developing countries.
TL;DR: This article documents disparities in access to health services in low‐ and middle‐income countries (LMICs), using a framework incorporating quality, geographic accessibility, availability, financial accessibility, and acceptability of services.
Journal ArticleDOI
The local food environment and diet: A systematic review
TL;DR: GIS-based measures were the most common measures, but were less consistently associated with diet than other measures, and few studies examined dimensions of affordability, accommodation, and acceptability.
References
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A technique for the measurement of attitudes
TL;DR: The instrument to be described here is not, however, indirect in the usual sense of the word; it does not seek responses to items apparently unrelated to the attitudes investigated, and seeks to measure prejudice in a manner less direct than is true of the usual prejudice scale.
Journal ArticleDOI
Scale for the measurement of attitudes toward physicians and primary medical care.
TL;DR: Patients' attitudes toward physicians and medical care, as well as the providers, should be consulted as to their attitudes, concerns, and satisfactions with the medical care they receive.