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 |