Access to Care
Access to care is defined for an individual or population as the ability to obtain preventive, primary, and tertiary healthcare as needed for optimal health. The US Institute of Medicine Committee on Monitoring Access to medical care defined access as: the timely use of personal health services to achieve the best possible health outcomes. Access to care is measured through population surveys or statistical data that relate actual healthcare use to various need and other personal, health system, and environmental factors that tend to reduce or enhance healthcare seeking behavior.
In understanding access to healthcare and social services, it is useful to consider the variety of different predisposing, enabling, and need factors that act independently and together to influence patterns of use and outcomes. Predisposing factors include environmental and patient characteristics such as age, gender, race/ethnicity, marital status, education, occupation, environmental risk factors, and...
- Andersen, R. M., & Davidson, P. L. (2001). Improving access to care in America: Individual and contextual indicators. In R. Andersen, T. Rice, & J. Kominski (Eds.), Changing the U.S. health care system: Key issues in health services, policy, and management. San Francisco: Jossey-Bass.Google Scholar
- Committee on Monitoring Access to Personal Health Care Services, Institute of Medicine. (1993). Access to health care in America (Millman, M. Ed.). Washington, DC: National Academy Press.Google Scholar
- Shi, L., & Stevens, G. D. (2005). Vulnerable populations in the United States. San Francisco: Jossey-Bass.Google Scholar
- Center for American Progress, Washington, DCGoogle Scholar
- Center for Communmity Health Studies, University of Southern California, Washington, DCGoogle Scholar
- Kaiser Family Foundation, Washington, DCGoogle Scholar
- Migration Policy Institute, Washington, DCGoogle Scholar
- Pan-American Health Organization (Organización Panamericana de la Salud), Washington, DCGoogle Scholar