Link between dimensions and stages of access to health goods and services: a conceptual delimitation
e202412061
Keywords:
Barriers to Access of health services, Health services accessibility, barriers to access of health servicesAbstract
Background: Accessing healthcare services involves various stages, each influenced by different dimensions that can either facilitate or hinder the process. This study aims to determine the intensity with which each dimension comes into play during different stages of access.
Methods: A thematic review of theoretical-conceptual research from 1970 to 2021 was conducted.
Results: The stage of perceived need is influenced by the dimension of acceptability, while the search for care involves acceptability, availability, accessibility, and adaptation. Utilization of services is permeated by accessibility and adaptation, and consequences are influenced by acceptability and adequacy
Conclusions: This analysis is valuable for stakeholders aiming to understand the factors that affect access to healthcare services, whether they are public or private providers, operating at primary or secondary levels of care, or part of health insurance companies or other healthcare institutions. It provides insights for designing measures to minimize the risks of patients not progressing through the various stages of access.
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