Access: Timely use of personal health services to achieve the best possible health outcomes Primary and acute care to reduce morbidity and pain Preventive care such as immunizations, dental visits and recommended health screenings to avoid or control disease Prenatal care to increase healthy birth outcomes

Who are the medically underserved? Individuals and families that are uninsured, underinsured and unable to afford the full cost of personal health care Members of racial and ethnic minority groups Immigrants and refugees Persons with limited English language skills Residents of rural communities with too few health professionals

Model of Access to Care Outcomes Barriers Use of Services Mediators Health Status Mortality Morbidity Well-being Functioning Equity of Services Structural Availability How organized Transportation Financial Insurance coverage Reimbursement rates Public support Personal Acceptability Education / income Cultural or language Attitudes / values Use of Services Person in need of personal health care services Visits Procedures Appropriateness Efficacy of treatment Quality of providers Patient adherence Mediators