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      The concept of access: definition and relationship to consumer satisfaction.

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      Medical care
      Ovid Technologies (Wolters Kluwer Health)

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          Abstract

          Access is an important concept in health policy and health services research, yet it is one which has not been defined or employed precisely. To some authors "access" refers to entry into or use of the health care system, while to others it characterizes factors influencing entry or use. The purpose of this article is to propose a taxonomic definition of "access." 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. The specific dimensions are availability, accessibility, accommodation, affordability and acceptability. Using interview data on patient satisfaction, the discriminant validity of these dimensions is investigated. Results provide strong support for the view that differentiation does exist among the five areas and that the measures do relate to the phenomena with which they are identified.

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          Author and article information

          Journal
          Med Care
          Medical care
          Ovid Technologies (Wolters Kluwer Health)
          0025-7079
          0025-7079
          Feb 1981
          : 19
          : 2
          Article
          10.1097/00005650-198102000-00001
          7206846
          105ff0f1-4875-40e3-9cf0-ebf7a2165cec
          History

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