Issue Brief Cent Stud Health Syst Change. 1997 Apr(8):1-6.
Access to care has long been studied by researchers, but emphasis has shifted recently from measuring whether access is worse for the poor and uninsured to monitoring how access is changing over time. Only a limited number of measures have been used consistently to monitor changes longitudinally, and these suggest that access by the uninsured is declining. There are potentially more valuable measures to track access, but data that are consistent over time have not been available. This Issue Brief, which is based on a seminar held by the Center for Studying Health System Change, discusses current research efforts to measure access to care.
研究人员长期以来一直在研究医疗服务可及性,但最近重点已从衡量穷人和未参保者的医疗服务可及性是否更差,转向监测医疗服务可及性如何随时间变化。一直持续用于纵向监测变化的衡量指标数量有限,这些指标表明未参保者获得医疗服务的机会正在减少。可能有更有价值的指标来跟踪医疗服务可及性,但一直没有随时间保持一致的数据。本问题简报基于医疗体系变革研究中心举办的一次研讨会,讨论了当前衡量医疗服务可及性的研究工作。