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Health Serv Res. 1974 Fall; 9(3): 208–220.
PMCID: PMC1071804

A Framework for the Study of Access to Medical Care


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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Rogers DE. Shattuck lecture--the American health-care scene. Views from a foundation perspective. N Engl J Med. 1973 Jun 28;288(26):1377–1383. [PubMed]
  • Fox PD. Access to medical care for the poor: the Federal perspective. Med Care. 1972 May-Jun;10(3):272–277. [PubMed]
  • Beck RG. Economic class and access to physician services under public medical care insurance. Int J Health Serv. 1973;3(3):341–355. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust