Roy Penchansky

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(No Transcript)
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Defining and Measuring Access Roy Penchansky
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• Quantity of need/demand
• relative to quantity of supply
• Availability

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Location of populations and travel
resource relative to location of
supply Accessibility
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Resources to purchase care relative to price/cost
of care Affordability
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Social/culture concerns/attitudes of patients and
providers Acceptability
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Organization of supply for entry relative to
suitability for clients Accommodation
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Physical Availability Similar to Availability
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Affordability Similar to Affordability
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Geographic Accessibility Similar to
Accessibility
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Acceptability (or Satisfaction) Similar to
Acceptability but seems to equate it with
satisfaction and omits provider attitudes toward
patients
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Quality of Products and Services An essential
component of access and cutting across all
dimensions
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• Quantity and Range of Services
• Location/Accessibility
• Financial/Affordability
• Cultural/Attitudinal
• Entry/Accommodation (suitability)