Design and application of a survey for measuring multidimensional access to health services.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research Pub Date : 2025-07-16 DOI:10.1016/j.jhqr.2025.101154

G P González, M Geri, M S Moreno, M F Arnaudo, F P Lago, M E Elorza, N S Moscoso, A M Blanco

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引用次数: 0

Abstract

Objectives: Access to health services is a critical factor in ensuring equitable healthcare delivery. Understanding patient perspectives on barriers and obstacles to healthcare access is essential for improving health outcomes. This study aims to design and test an instrument to assess self-perceived access to health services across different levels of care, encompassing all process dimensions.

Methods: The survey, constructed with an interdisciplinary approach, is administered at the household level. It was validated by experts and approved by a Bioethics Committee. This survey was conducted in a medium-sized city in Argentina.

Results: The validated instrument provides a comprehensive tool to investigate, from the patient's perspective and preferences, the barriers that prevent a health need from becoming a demand and the obstacles to effectively using the needed healthcare service. The implementation of the survey revealed significant insights into these issues.

Conclusions: Our instrument offers valuable insights into the patient-perceived barriers to healthcare access. It is a robust tool for identifying the obstacles that impede the utilization of health goods and services in the different levels of care, thereby improving healthcare delivery systems.

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设计和应用一项调查，以衡量获得保健服务的多角度情况。

目标：获得保健服务是确保公平提供保健服务的关键因素。了解患者对获得医疗保健的障碍和障碍的看法对于改善健康结果至关重要。本研究旨在设计和测试一种工具，以评估不同护理水平的自我感知获得卫生服务的机会，包括所有过程维度。方法：本调查采用跨学科方法，在家庭层面进行。它经过了专家的验证，并得到了生物伦理委员会的批准。这项调查是在阿根廷的一个中等城市进行的。结果：经过验证的仪器提供了一个全面的工具，从患者的角度和偏好来调查阻止健康需求成为需求的障碍，以及有效使用所需医疗保健服务的障碍。调查的实施揭示了对这些问题的重要见解。结论：我们的仪器提供了宝贵的见解，患者感知的障碍，以获得医疗保健。它是一种强有力的工具，可用于确定阻碍在不同级别的保健中使用卫生物品和服务的障碍，从而改进卫生保健提供系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Healthcare Quality Research Medicine-Health Policy

CiteScore

1.70

自引率

8.30%

发文量

审稿时长

57 days

期刊介绍： Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)