Longest36612a

Longest36612a - HSA 366 - Session 12 ACCESS A - Access to...

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HSA 366 - Session 12 ACCESS
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A - Access to Health Care A multidimensional concept Means more than the availability of services The actual utilization of health care services when needed (Avedis Donabedian) The “fit” between the provider and the patient How the characteristics of the provider mesh w/ the demands & needs of the client
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Acceptability Affordability Accommodation Accessibility Availability ACCESS adapted from Penchansky and Thomas, 1981 Access ( Penchansky and Thomas, 1981)
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Availability (Amount) supply of services needed for a population # Providers / Population Unit Definitions of shortage i.e. HPSA (Health population shortage area)/ MUA/ MUP (medically uninsured population)
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Accessibility Geographic distribution of health services relative to location of population Are services readily reachable when needed?
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Affordability Financial Match Between Patient’s Ability to Pay and the Provider’s Willingness to Accept Payment Insurance has strong relationship to Access
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Affordability If price to the patient is $0 – likely to have greater utilization Copayments and deductibles DO modify (decrease) utilization
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Effect ?? Utilization of Services Out-of-Pocket Cost Positive for Reducing OVER-UTILIZATION Negative for Encouraging ACCESS
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Insurance does NOT equal access But is strong predictor of access
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Accommodation How the supply of health services meets the convenience i.e. Frequency of Office Hours; Ability to Make Appointments; Part- time vs. Full-time Practices
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Acceptability Patients’ Attitudes About Providers
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Longest36612a - HSA 366 - Session 12 ACCESS A - Access to...

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