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A Framework for the Study of Access to Medical Care Lu Ann Aday Lu Ann Aday, Ph.D.1Center for Health Administration Studies, University of Chicago, 5720 Woodlawn Avenue, Chicago, IL 60637
1,
Ronald Andersen Ronald Andersen1Center for Health Administration Studies, University of Chicago, 5720 Woodlawn Avenue, Chicago, IL 60637
11Center for Health Administration Studies, University of Chicago, 5720 Woodlawn Avenue, Chicago, IL 60637
AbstractDefinitions and aspects of the concept of access to medical care are reviewed and integrated into a framework that views health policy as designed to affect characteristics of the health care delivery system and of the population at risk in order to bring about changes in the utilization of health care services and in the satisfaction of consumers with those services. Indicators are suggested for the measurement of the various relevant aspects of access, with the system and population descriptors seen as process indicators and utilization and satisfaction as outcome indicators in a theoretical model of the access concept.
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