Int J Health Serv. 2014;44(4):845-61. doi: 10.2190/HS.44.4.j.
Access to health care is a multidimensional and complex concept. Achieving equitable access to care is an important goal for all countries, but particularly challenging in Low- and Middle-Income Countries (LMICs). Despite wide use of the concept of access, it continues to be defined and measured in very different ways. This glossary is a structured overview of key definitions for concepts related to access to health care, with special focus on the interpretation for LMICs. It aims to help people with interest in health service delivery to draw an overview and provide some pointers for further reading in both conceptual and empirical advances in access to health care in LMICs. This document is structured in five sections. The first introduces a general description of the concept of access to health care and its relevance to LMICs, the second displays the search conducted on access to health care for LMICs and the framework used for presentation of glossary terms, the third describes theoretical models most frequently used in the past when looking at access to health care in LMICs, the fourth is the list of terms, and the final section is a discussion of the most salient aspects of this critical review.
获得医疗保健是一个多维度且复杂的概念。实现公平获得医疗保健是所有国家的一个重要目标，但在中低收入国家（LMICs）尤其具有挑战性。尽管“可及性”的概念被广泛使用，但它的定义和衡量方式仍然存在很大差异。这份术语表是与医疗保健可及性相关概念的关键定义的结构化概述，特别关注对 LMICs 的解释。其旨在帮助对卫生服务提供有兴趣的人们对其进行概述，并提供一些关于在 LMICs 中医疗保健可及性的概念和实证进展方面进一步阅读的要点。本文档分为五个部分。第一部分介绍了医疗保健可及性的一般概念及其与 LMICs 的相关性，第二部分展示了针对 LMICs 的医疗保健可及性搜索以及用于呈现术语表术语的框架，第三部分描述了过去在研究 LMICs 中的医疗保健可及性时最常使用的理论模型，第四部分是术语列表，最后一部分是对这一关键综述的最突出方面的讨论。
