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Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries

Health policy and planning, 2012-07, Vol.27 (4), p.288-300 [Peer Reviewed Journal]

2012 Oxford University Press ;Copyright Oxford Publishing Limited(England) Jul 2012 ;ISSN: 0268-1080 ;EISSN: 1460-2237 ;DOI: 10.1093/heapol/czr038 ;PMID: 21565939 ;CODEN: HPOPEV

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Title:
Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries
Author: Jacobs, Bart ; Ir, Por ; Bigdeli, Maryam ; Annear, Peter Leslie ; Van Damme, Wim
Subjects: Acceptability ; Access to health care ; Asia ; Asians ; Cambodia ; Developing Countries ; Health administration ; Health care ; Health care access ; Health economics ; Health insurance ; Health policy ; Health services ; Health Services Accessibility - organization & administration ; Interventionism ; Interventions ; Low income ; Low income countries ; Low income people ; Medical service ; Organizational Case Studies ; Original articles ; Planning ; Public health ; Studies ; Supply & demand ; World Health Organization
Is Part Of: Health policy and planning, 2012-07, Vol.27 (4), p.288-300
Description: While World Health Organization member countries embraced the concept of universal coverage as early as 2005, few low-income countries have yet achieved the objective. This is mainly due to numerous barriers that hamper access to needed health services. In this paper we provide an overview of the various dimensions of barriers to access to health care in low-income countries (geographical access, availability, affordability and acceptability) and outline existing interventions designed to overcome these barriers. These barriers and consequent interventions are arranged in an analytical framework, which is then applied to two case studies from Cambodia. The aim is to illustrate the use of the framework in identifying the dimensions of access barriers that have been tackled by the interventions. The findings suggest that a combination of interventions is required to tackle specific access barriers but that their effectiveness can be influenced by contextual factors. It is also necessary to address demand-side and supply-side barriers concurrently. The framework can be used both to identify interventions that effectively address particular access barriers and to analyse why certain interventions fail to tackle specific barriers.
Publisher: England: Oxford University Press
Language: English
Identifier: ISSN: 0268-1080
EISSN: 1460-2237
DOI: 10.1093/heapol/czr038
PMID: 21565939
CODEN: HPOPEV
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central

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Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries

2012 Oxford University Press ;Copyright Oxford Publishing Limited(England) Jul 2012 ;ISSN: 0268-1080 ;EISSN: 1460-2237 ;DOI: 10.1093/heapol/czr038 ;PMID: 21565939 ;CODEN: HPOPEV

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