The Prospective Pareto Principle and Equity of Access to Health Care

1982 ◽  
Vol 60 (3) ◽  
pp. 399 ◽  
Author(s):  
Allan Gibbard
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Pareto Principle ◽  
Access To Health ◽  
Equity Of Access

What does 'access to health care' mean?

2002 ◽  
Vol 7 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Martin Gulliford ◽  
Jose Figueroa-Munoz ◽  
Myfanwy Morgan ◽  
David Hughes ◽  
Barry Gibson ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Cultural Barriers ◽  
Complex Concept ◽  
Barriers To Access ◽  
Access To Health ◽  
Equity Of Access ◽  
Diverse Groups ◽  
Physical Accessibility ◽  
Gain Access

Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends on financial, organisational and social or cultural barriers that limit the utilisation of services. Thus access measured in terms of utilisation is dependent on the affordability, physical accessibility and acceptability of services and not merely adequacy of supply. Services available must be relevant and effective if the population is to 'gain access to satisfactory health outcomes'. The availability of services, and barriers to access, have to be considered in the context of the differing perspectives, health needs and material and cultural settings of diverse groups in society. Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration.

Equity of access to health care. Evidence from NHS Direct in the UK

2006 ◽  
Vol 12 (5) ◽  
pp. 262-265 ◽  
Author(s):  
Emma Knowles ◽  
James Munro ◽  
Alicia O'Cathain ◽  
Jon Nicholl
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Access To Health ◽  
The Uk ◽  
Equity Of Access ◽  
Nhs Direct

Measuring equity of access to health care

2010 ◽  
pp. 187-221 ◽  
Author(s):  
Sara Allin ◽  
Cristina Hernández-Quevedo ◽  
Cristina Masseria ◽  
Sheila Leatherman
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Access To Health ◽  
Equity Of Access

Access to health care services – an English policy perspective

2009 ◽  
Vol 4 (2) ◽  
pp. 195-208 ◽  
Author(s):  
MARIA GODDARD
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Policy Perspective ◽  
Care Services ◽  
Barriers To Access ◽  
Access To Health ◽  
Sociological Literature ◽  
Equity Of Access ◽  
Improve Access

Abstract:The English government has given a commitment to improving access to health care services for particular groups perceived as being under-served, or served inappropriately, by existing services. In this article four examples of policies aimed at improving access are considered: enhancing the supply of services to under-served areas, changing the organization of services, setting targets to improve access, and empowering people to make choices. Policies aimed at improving access will work only if they address the source of inequities, which means identifying the key barriers to access and these barriers are unlikely to be uniform across sectors, services, and groups of people. Evidence on the success of these four types of intervention in terms of influencing access and equity of access is discussed, borrowing some concepts from the sociological literature that enable us to understand the importance of how barriers to access may arise for different services and different population groups. It is clear that some policies may not work as well as we would hope, or may even exacerbate inequities of access, because they fail to recognize the source of the particular barriers faced by some groups.

Sign in / Sign up

Export Citation Format

Share Document