Determinants of access to chronic illness care: a mixed-methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.
Bottom Line: Application of the access framework highlighted the complex inter-relationships between dimensions of access.Key ongoing challenges are achieving population coverage through a national programme, reaching high-need groups and ensuring provision of ongoing care.These findings highlight the importance of flexibility in national programme guidelines to support locally determined strategies.
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.Show MeSH
Related in: MedlinePlus
Mentions: Levesque et al recently proposed a framework where access is achieved through interaction between five corresponding dimensions identified on the supply (service providers) and demand (service seeking) sides (figure 1). It is the interactions between patients and providers that enable access. This comprehensive conceptualisation of access is consistent with recent literature emphasising the need to take an ecological approach to Indigenous health16 and a people-centred approach to healthcare.17
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.