Access as a policy-relevant concept in low- and middle-income countries

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dc.contributor.authorMcIntyre, D
dc.contributor.authorThiede, M
dc.contributor.authorBirch, S
dc.date.accessioned2012-07-23T19:13:39Z
dc.date.available2012-07-23T19:13:39Z
dc.date.copyright2009
dc.date.issued2009
dc.description.abstractAlthough access to health care is frequently identified as a goal for health care policy, the precise meaning of access to health care often remains unclear. We present a conceptual framework that defines access to health care as the empowerment of an individual to use health care and as a multidimensional concept based on the interaction (or degree of fit) between health care systems and individuals, households, and communities. Three dimensions of access are identified: availability, affordability, and acceptability, through which access can be evaluated directly instead of focusing on utilisation of care as a proxy for access. We present the case for the comprehensive evaluation of health care systems as well as the dimensions of access, and the factors underlying each dimension. Such systemic analyses can inform policy-makers about the ‘fit’ between needs for health care and receipt of care, and provide the basis for developing policies that promote improvements in the empowerment to use care.en
dc.formatTexten
dc.format.extentp. 179-193en
dc.identifier.citationMcIntyre, D., Thiede, M., & Birch, S. (2009). Access as a policy-relevant concept in low- and middle-income countries. Health Economics, Policy and Law, 4: 179-193. doi: 10.1017/S1744133109004836en
dc.identifier.issn1744-1331
dc.identifier.issn1744-134X
dc.identifier.urihttp://hdl.handle.net/10625/49848
dc.language.isoen
dc.relation.journalHealth Economics, Policy and Law
dc.subjectACCESS TO HEALTH CAREen
dc.subjectHEALTH POLICYen
dc.subjectHEALTH SERVICES ACCESSIBILITYen
dc.subjectHEALTH SYSTEMen
dc.titleAccess as a policy-relevant concept in low- and middle-income countriesen
dc.typeAbstracten
idrc.copyright.holderCambridge University Press
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI.en
idrc.project.componentnumber103460052
idrc.project.number103460
idrc.project.titleTeasdale-Corti Global Health Research Partnershipen
idrc.rims.adhocgroupIDRC SUPPORTEDen

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2000-2009 / Années 2000-2009
Health Systems Research / recherche sur les systèmes de santé
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Teasdale-Corti Global Health Research Partnership (TC) / partenariat Teasdale-Corti de recherche en santé mondiale