100% QUESTIONS AND ANSWERS
access - the ability to use needed, affordable, convenient, acceptable and
effective personal health care services in a timely manner
utilization - realized access or actual use of healthcare services
framework to access -
population characteristics - predisposing characteristics --> enabling resources -
-> need
predisposing characteristics - demographics, social structure, health beliefs
enabling resources - personal/family, community, insurance
need - perceived, evaluated
health behavior - personal health practices, use of health services
outcomes - perceived health status, evaluated health status, consumer
satisfaction
dimensions of access (5 As) - availability, accessibility, accommodation,
affordability, acceptability
, availability - the fit between service capacity and individual's requirements
accessibility - the fit between the locations of providers and patients
accomodation - the fit between how resources are organized to provide
services and the individuals' ability to use the arrangement
affordability - individuals' ability to pay
acceptability - the compatibility between patients, attitudes about providers'
personal and practice characteristics and providers' attitudes towards their
clients' personal characteristics and values
measurement of access - individual level - medical services utilization relative
to enabling and predisposing factors controlling for need for care
measurement of access - delivery system - measure access in an environmental
context
healthcare effectiveness data and information set (HEDIS) - performance
improvement tools offered by National Committee for Quality Assurance
(NCQA) to improve person-centered care. collects data from health plans and
PPOs
HEDIS 5 domains - effectiveness of care, access/availability, utilization, risk
adjusted utilization, measures collected using electronic clinical data systems
actions to reduce health disparities - raise awareness and improve
understanding of which groups are most vulnerable, invest in SDOH, coordinate