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Access to Care

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Encyclopedia of Immigrant Health
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Access to care is defined for an individual or population as the ability to obtain preventive, primary, and tertiary healthcare as needed for optimal health. The US Institute of Medicine Committee on Monitoring Access to medical care defined access as: the timely use of personal health services to achieve the best possible health outcomes. Access to care is measured through population surveys or statistical data that relate actual healthcare use to various need and other personal, health system, and environmental factors that tend to reduce or enhance healthcare seeking behavior.

In understanding access to healthcare and social services, it is useful to consider the variety of different predisposing, enabling, and need factors that act independently and together to influence patterns of use and outcomes. Predisposing factors include environmental and patient characteristics such as age, gender, race/ethnicity, marital status, education, occupation, environmental risk factors, and...

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Suggested Readings

  • Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.

    CAS  PubMed  Google Scholar 

  • Andersen, R. M., & Aday, L. A. (1978). Access to medical care in the U.S.: Realized and potential. Medical Care, 16, 533–546.

    CAS  PubMed  Google Scholar 

  • Andersen, R. M., & Davidson, P. L. (2001). Improving access to care in America: Individual and contextual indicators. In R. Andersen, T. Rice, & J. Kominski (Eds.), Changing the U.S. health care system: Key issues in health services, policy, and management. San Francisco: Jossey-Bass.

    Google Scholar 

  • Burneo, J. G., Black, L., Knowlton, R. C., Faught, E., Morawetz, R., & Kuzniecky, R. I. (2005). Racial disparities in the use of surgical treatment for intractable temporal lobe epilepsy. Neurology, 64, 50–54.

    CAS  PubMed  Google Scholar 

  • Committee on Monitoring Access to Personal Health Care Services, Institute of Medicine. (1993). Access to health care in America (Millman, M. Ed.). Washington, DC: National Academy Press.

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  • Davidson, P. L., Andersen, R. M., Wyn, R., & Brown, E. R. (2004). A framework for evaluating safety-net and other community-level factors on access for low-income populations. Inquiry, 41, 21–38.

    PubMed  Google Scholar 

  • Shi, L., & Stevens, G. D. (2005). Vulnerable populations in the United States. San Francisco: Jossey-Bass.

    Google Scholar 

Suggested Resources

  • Center for American Progress, Washington, DC

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  • Center for Communmity Health Studies, University of Southern California, Washington, DC

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  • Kaiser Family Foundation, Washington, DC

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  • Migration Policy Institute, Washington, DC

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  • Pan-American Health Organization (Organización Panamericana de la Salud), Washington, DC

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© 2012 Springer Science+Business Media, LLC

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Begley, C.E. (2012). Access to Care. In: Loue, S., Sajatovic, M. (eds) Encyclopedia of Immigrant Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5659-0_10

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  • DOI: https://doi.org/10.1007/978-1-4419-5659-0_10

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  • Publisher Name: Springer, New York, NY

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