Then, two health centers were randomly selected from the health centers of these two areas. Epub 2020 Nov 6. PubMed Central In this consensus process, we applied Penchansky and Thomas' framework of domains of health access to exploring likely challenges and proposing pragmatic solutions relevant to Tier-1 and 2 systems in Africa. While the research literature suggests strong evidential support for several of the policy interventions discussed in this report, many of the most conceptually promising have been insufficiently studied to determine their effect on primary care access for underresourced communities. Grounded theory attempts to move beyond description and generate a general explanation, or theory, of a process or action that is shaped by the views of participants who have experienced the. Experiences with telemedicine for HIV care in two federally qualified health centers in Los Angeles: a qualitative study. Int J Dev Sustain. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. McCleery E, Christensen V, Peterson K, Humphrey L, Helfand M. Washington (DC): Department of Veterans Affairs (US); 2014 Sep. Szilagyi PG, Dick AW, Klein JD, Shone LP, Zwanziger J, McInerny T. Pediatrics. While all patients identified affordability, accommodation, and accessibility of services as considerations in how and where to seek management, patients in regional . 2023 Feb 13;15:235-253. doi: 10.2147/IJWH.S388153. Disclaimer. Google DoubleClick IDE cookies are used to store information about how the user uses the website to present them with relevant ads and according to the user profile. 2017;9(7):5508955093. 2020;17(1):13. https://doi.org/10.1037/ser0000235. 1080/ 00330120701724087. J Reprod Infant Psychol. Walker D, Moucheraud C, Butler D, de Vente J, Tangonan K, Shoptaw S, Currier JS, Gladstein J, Hoffman R. BMC Health Serv Res. Google Scholar. 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You also have the option to opt-out of these cookies. Access to primary care was measured using Penchansky and Thomas' model. Process Evaluation of Facility Delivery Services in Northwest Ethiopia: In the Case of Public Health Centers. ASRs encounter significant challenges to accessing dental care in their host countries. The cookie is used to store the user consent for the cookies in the category "Performance". Bookshelf Mehdi H, Rajabi G. Health Care Services Utilization in Iran. Levesque J-F, Harris Mark F, Grant R. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Penchansky and Thomas described access to care as consisting of five . In addition, we thank Mr. Farshad Sharifi-Assistant Professor in Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences- who participated in the supplementary analysis in this study. The content validity ratio (CVR) was approved in 30 items with a value greater than 0.78, and one item with a CVR value lower than 0.78 was removed. The Penchansky and Thomas concept of access 21; Accessibility - The relationship between the location of supply and the location of clients (eg client transport resources, travel time, distance, cost of travel) Availability - The relationship of the volume and type of existing services (and resources) to the clients' volume and types of needs (eg adequacy of supply of physicians . Generalized ordinal logistic regression analysis was used to determine the factors associated with access to primary care. Mould-Millman NK, Rominski SD, Bogus J, Ginde AA, Zakariah AN, Boatemaah CA, Yancey AH, Akoriyea SK, Campbell TB. Lesen Sie The Perceptions of Physician Influence on Healthcare Accessibility" von Samuel N. Jacobs - Abbey erhltlich bei Rakuten Kobo. The definition of access to health care is taken from Penchansky and Thomas . 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. eCollection 2022 Mar. Therefore, it is expected that related field research will be accelerated with the introduction of this questionnaire. 2015 Dec 17;3(4):577-90. doi: 10.9745/GHSP-D-15-00170. 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. Federal government websites often end in .gov or .mil. access to health care questionnaire Sara-Sadat Hoseini-Esfidarjani1, Reza Negarandeh1,2*, Farzaneh Delavar1 and Leila Janani3 Abstract Background and objective: Access to health care is a universal concern. Internal consistency was assessed using Cronbachs alpha. Then, using the formula,Footnote 2 the Impact score of each item was calculated. 0 ratings 0% found this document useful (0 votes) The removal of such mental barriers to greater access to the services helps to achieve equity in access. J Chiropract Med. BMC Health Serv Res 21, 638 (2021). . Exploring the dimensions of access. Penchansky and Thomas identified five dimensions that encompassed five specific barriers: availability, acces- sibility, accommodation, affordability, and acceptability. In order to determine the face validity using the quantitative method, the items in the developed instrument were measured based on a five-point Likert scale quite important [5], important [4], moderately important [3], slightly important [2], and unimportant [1]. Public Health Rev. Otieno PO, Achach WEO, Mohamed Shukri M, et al. Request Permissions, Published By: Lippincott Williams & Wilkins. sharing sensitive information, make sure youre on a federal 2013;12(1):18. https://doi.org/10.1186/1475-9276-12-18. Part 1: Increasing the Availability of Primary Care Clinicians, Part 2: Bringing Outpatient Clinics into Communities, Part 3: Alleviating Structural Barriers to Obtaining Primary Care Services, Part 4: Removing Financial Barriers to Primary Care, Part 5: Ensuring Comfort and Communication in the Delivery of Primary Care Services. It can be said that access and use are not synonymous [16]. Patient characteristics associated with hospitalisations for ambulatory care sensitive conditions in . R.M.. 1995. Working Paper; 2009. https://www.econstor.eu/handle/10419/51524. In order to calculate CVR and after explaining the objectives of the questionnaire and providing the operational definitions related to the content of the questions, the experts were asked to rate each question based on a three-point Likert scale, The item is necessary, The item is useful but unnecessary, and The item is unnecessary. This instrument included 25 items and was developed based on the theories proposed by Levesque et al. Onyeneho NG, Amazigo Uche V, Njepuome Ngozi A, et al. Reasons for unmet need or delayed care in the previous 12 months were assigned to one of five dimensions in the Penchansky and Thomas model of access to care. This site needs JavaScript to work properly. Han J, Hao Y, Cui N, Wang Z, Lyu P, Yue L. BMC Prim Care. ; The construct validity showed that the items of the questionnaire were related to the six-dimensional hypothetical structure based on models of access to health services [3]. Access through your institution . Besides, thequestionnaires obtained ICC value was 0.94(CI95%: 0.78, 0.98), which was calculated usingthe two-way mixed absolute agreement method. Med Care. Physician conduct and other factors that affect consumer satisfaction with medical care. Google Scholar. Access to primary care was measured using Penchansky and Thomas' model. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. A moving target: universal access to healthcare services in Latin America and the Caribbean. In this study, Cronbachs alpha of greater than 0.6 was considered acceptable [27, 28]. The participants aged between 20 and 60years with an average of 37.8years and a standard deviation of 10.27years. However, none of them used a valid and well-known instrument. The Milbank Memorial Fund is is a foundation that works to improve population health and health equity. Accessibility In the fully adjusted two-level model, in addition to several individual factors . Thus, the ratio of participants who had chosen 4 and 5 for each item (frequency), as well as the sum of scores assigned to each item and the average score of each item (importance) were determined. LinkedIn - Used to store consent of guests regarding the use of cookies for non-essential purposes. On the other hand, based on purposeful sampling, ten members of the panel of experts (written and email) and 30 members of the target group (face to face) were selected to conduct qualitative face validity. Please enable it to take advantage of the complete set of features! PubMed Central Access refers to the ability to receive the appropriate care from a proper healthcare provider, at the right time and place, depending on the context [1]. CFA aims to investigate the existence of a previously confirmed construct with a new dataset [37] However, in the study of Zandom et al. Fitzpatrick AL, Powe Neil R, Cooper Lawton S, et al. They were then reassured about the confidentiality of the information, and informed consent was obtained. 2016;15(1):12. https://doi.org/10.1186/s12939-016-0294-z. Therefore, this study was conducted to develop a questionnaire to assess the Perceived Access to Health care based on Penchansky and Thomas's Google Scholar. The dimensions of access to healthcare proposed by Penchansky and Thomas arose frequently in the synthesis of the interviews to a different degree based on remoteness of residence. The questionnaires were also completed through interviews with the participants from November 2018 to June 2019. Article : Data acquisition, revising of manuscript. 2017;32(2):6. retrieved from https://egrove.olemiss.edu/jrss/vol32/iss2/6/. Fit indices were used in the confirmatory factor analysis with experimental data. The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health. All 30 items with an impact score index higher than 1.5 were approved for the next steps. Findings The global abortion rate was stable between 2003 and 2008, with rates of 29 . 1998;9:2839. Inclusion criteria for the present study include the ability to speak in Persian, no apparent cognitive impairment, no history of specific diseases (dialysis, hemophilia, multiple sclerosis, and renal transplantation), citizenship and residence of Iran, recipients of services from health centers, and the age range between 20 and 60years. The cookie is used to store the user consent for the cookies in the category "Analytics". Finally, the accessibility dimension refers to the location of health care delivery and the patients residence, which includes concepts such as commuting time and distance [13]. Penchansky and Thomas ( 1981) conceptualized access as focused on barriers to health care utilization. The Dimensions of Access: Penchansky & Thomas (1981) presented 5 dimensions of access: Affordability. Careers. Med Care. This site needs JavaScript to work properly. 2018 Jul 16;39:20. doi: 10.1186/s40985-018-0097-4. The authors of this report reviewed the research literature to assess the evidence supporting whether policy initiatives targeting primary care access in each of these five dimensions have been effective in reducing health care disparities. The Intraclass Correlation Index (ICC) value for reliability (test-retest) of the whole instrument was calculated 0.94 using the two-way mixed absolute agreement method.
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