CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Australian Journal of Primary Health   
Australian Journal of Primary Health
  The issues influencing community health services and primary health care
blank image Search
blank image blank image
blank image
  Advanced Search

Journal Home
About the Journal
Editorial Board
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Instructions to Authors
Submit Article
Open Access
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates

blue arrow e-Alerts
blank image
Subscribe to our email Early Alert or RSS feeds for the latest journal papers.

red arrow Connect with CP
blank image
facebook twitter youtube


Article << Previous     |     Next >>   Contents Vol 13(2)

A Review of Literature on Access to Primary Health Care

Zahid Ansari

Australian Journal of Primary Health 13(2) 80 - 95
Published: 2007


The purpose of this review was to acquaint health care planners, policy-makers and health services researchers with the complexities and dimensions of the concept of access to primary health care as reflected in the international medical literature of the past three decades. The review provides a comprehensive and accessible summary of the numerous definitions and ideas about access, which have been suggested over this time, together with a synthesis of current thinking informed by these past perspectives. Critical Interpretive Synthesis (CIS) methodology was used to review the literature on access. Medline and Australasian Medical Index were searched for English-language articles published between 1970 and August 2005. The results were supplemented by an internet search of the World Wide Web, augmented by manual scans of material from deeper levels within the sites. The process by which the initial list of 665 potential references was reduced to the final list of 48 references was based on manual inspection of both abstracts and full articles using specific prioritisation criteria. Inter-observer agreement for reference selection using these criteria was checked by two investigators and found to be good (Kappa=0.83). Measuring and monitoring access to primary health care is challenging due to the complexity of the concept of access. To address this shortcoming, a single outcome-based measure of access to primary health care is proposed, pointing to a possible way forward for the concept of access as a practical tool with significant application to future health policy.

Full text doi:10.1071/PY07026

© La Trobe University 2007

blank image
PDF (224 KB) $25
 Export Citation
Legal & Privacy | Contact Us | Help


© CSIRO 1996-2014