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Table 5 Components of interventions per access dimension

From: Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations

 

Components of interventions relating to access dimensions

Supply-side dimensions of accessibility of services

Approachability

Acceptability

Availability and Accommodation

Affordability

Appropriateness

Examples of components of interventions per dimension of access

Navigation and information

Adaptation to needs of specific populations

Outreach from PHC into community setting

Defraying costs to patients

Comprehensive PHC team - One Stop Shop

Facilitated referral for services

Community health worker

Virtual consultation with health provider

PHC network with community organisations

Proactive identification of needs (e.g. early health assessments)

Expanded scope of practice of health professionals

PHC Case Manager

Transparency

Geographic location of PHC services

Demand-side abilities of patients to access services

Ability to perceive

Ability to seek

Ability to reach

Ability to pay

Ability to engage

Examples of components of interventions per dimension of access

Health and service literacy

Education and self-management coaching (e.g. access to education material or devices to track your own health)

Transportation options to access services

No out-of-pocket costs for patients

Proactive role and participation of patients and carers (e.g. setting goals, priorities and actions for the healthcare plan)

Peer-support workers

Connecting with social groups/social support

Community governance model (e.g. community-led services)