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In: Nursing

The Availability of Healthcare: Who should have access to the best care?

The Availability of Healthcare: Who should have access to the best care?

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Expert Solution

1) Ans)Availability – the sufficient supply and appropriate stock of health workers, with the competencies and skill‐mix to match the health needs of the population; ... Quality – health workforce competencies, skills, knowledge and behaviour, as assessed according to professional norms and as perceived by users.

Access to comprehensive, quality health care services is important for promoting and maintaining health, preventing and managing disease, reducing unnecessary disability and premature death, and achieving health equity for all

Access to health care means having "the timely use of personal health services to achieve the best health outcomes"Coverage: facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health status.

Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends on financial, organisational and social or cultural barriers that limit the utilisation of services. Thus access measured in terms of utilisation is dependent on the affordability, physical accessibility and acceptability of services and not merely adequacy of supply. Services available must be relevant and effective if the population is to 'gain access to satisfactory health outcomes'. The availability of services, and barriers to access, have to be considered in the context of the differing perspectives, health needs and material and cultural settings of diverse groups in society. Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration.

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