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Table 6 Summary of access arrangements by case

From: Context matters for primary health care access: a multi-method comparative study of contextual influences on health service access arrangements across models of primary health care

Access dimension and example/s

Case and access arrangements

1

2

3

4

5

6

Availability & accommodation

 Onsite AH GP services (i.e. after 6 pm weekdays; weekend opening)

No AH

Some AH

Good AH

Good AH

Good AH

No AH

 Same day/walk-in GP appointments available

Yes

Yes

Sometimes

Yes

Yes

Sometimes

Affordability

 Patient co-payments for other co-located services, which may vary across allied health/medical specialist and public/private (All had nil/low co-payments for GP services)

Medium

Low/medium

Low/medium

Low/medium

No/low/medium

No/low

Acceptability

 Unique responses to acceptability to fit with context

Nil

Dedicated youth mental health

Indigenous sensitive with Aboriginal nurse

Reception area not welcoming, ad-hoc arrangements for practitioners seeing vulnerable populations

Information customised to literacy, cultural variability

High use of interpreters and information in other languages, gender diversity sensitive practices, well known as service for vulnerable populations

Appropriateness

 Co-location of allied health/medical (med) specialists (public(pub)/private(priv))/ LHN clinics

Few allied health (priv), No med special or LHN

Good range allied health &med special (priv/pub), LHN clinics

Good range allied health (priv), some med special (priv), no LHN

Range of allied health & med special (pub/priv), LHN

Broad range allied health (pub), no med specialist, LHN

Good range allied health (pub), few med special, one LHN

Approachability

 Outreach programs (all provide some services in residential aged care settings and home visits)

Ad hoc (schools, community events)

Regular mental health clinic and school services

Nil extra

Nil extra

Regular community groups and surrounding town clinics

Dedicated staff who do outreach in a range of settings