Aday L A, Andersen R
Health Serv Res. 1974 Fall;9(3):208-20.
Definitions 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.
本文回顾了获得医疗服务这一概念的定义及相关方面,并将其整合到一个框架中。该框架认为,卫生政策旨在影响医疗服务提供系统和高危人群的特征,从而改变医疗服务的利用情况以及消费者对这些服务的满意度。文中还提出了用于衡量获得医疗服务各个相关方面的指标,在获得医疗服务概念的理论模型中,将系统和人群描述指标视为过程指标,而将利用情况和满意度视为结果指标。