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Table 1 Six dimensions related to access to health services

From: How do surgeons decide to refer patients for adjuvant cancer treatment? Protocol for a qualitative study

Dimension Examples
Availability Resources (personnel, equipment, technology), prevailing wait times
Accessibility Centralized services, “close to home,” transportation difficulty
Accommodation Coordination and integration of services, “satellite’ cancer clinics,” telemedicine
Affordability Funding of cancer services, insurance/drug coverage, indirect patient costs (lodging, transportation)
Acceptability Patient and provider attitudes toward one another, patient characteristics (e.g., age, sex, comorbid conditions, life expectancy), patient preferences, provider characteristics (e.g., sex, years of practice, level of specialization, surgery volume)
Awareness Patient and provider awareness of evidence for therapy, clinical practice guidelines, structures that support multidisciplinary dialogue/consultation