Matrix of Health Access Relationships

 Deming noted quality as a function of the matrix of relationships. Most needed health access is completely about the relationships between those in most need of health care, lower and middle income factors, broad generalists, awareness, coordination, and policy as related to establishing the necessary facilities, health care team members, and primary care practitioners.

Type of Patient and Funding

Type of Patient and Barriers to Care

Facilities

Health Care Team

Primary Care Practitioners

Solution

Quality Determined

Coordination and Policy

Place of Care

People to Care for Details

People to Care Overall

Better Lower and Middle Income Children

Matrix of Relationships

Governments, Associations, Systems, Insurance

Covered

Few Barriers

Numerous

Numerous

Numerous Forms or Bypass

Stability, Efficient and Effective Society

Less About the Patient

Reasonable Balance

Barriers

Medicare and Medicaid

Design Failure

Fading

Broad General Care

Broad Generalist Family Practice

Highest Probability Care for Medicare and Medicaid Patients

Mostly About the Patient

Awareness in All Dimensions

Lower and Middle Income

Design Failure

Fading

Broad General Care

Broad Generalist Family Practice

Direct Improvement

Mostly About the Patient

Awareness in All Dimensions

Rural

Design Failure

Fading

Broad General Care

Broad Generalist Family Practice

Highest Probability Rural Service

Mostly About the Patient

Awareness in All Dimensions

Underserved, Not Covered, Barely Covered

Culture, Language, Refugee, Other Determinants

Over-whelmed

Broad General Care

Broad Generalist Family Practice

Highest Probability Service to the Underserved

Mostly About the Patient

Awareness in All Dimensions

Other

Local Health Care Leadership

Often Compromised

Board, CEO

Nurses, Supervisors

Physicians, CMO

Better Lower and Middle Income Children

Awareness in All Dimensions

Awareness in All Dimensions

Schools

Schools for Higher Status US Children

Advantages But Lack of Awareness

Inherent Advantage

Best Assistants

Best Teachers, Environments

Better Lower and Middle Income Children Through Competition

Mostly About the Parent

Awareness in All Dimensions

Schools for Normal US Children

Design Failure

Funding and Design Flaws

Assistants

Teachers

Better Lower and Middle Income Children

Mostly About the Student

Awareness in All Dimensions

 

 

Robert C. Bowman, M.D.    rcbowman@atsu.edu    

Principles of Health Access Summary Points     Steps to Health Access     Basic Health Access Concepts To Review 

Foundation of Basic Health Access Primary Care

Atlas of Basic Health Access   Featured Graphic    Past and Present Physician and Non-Physician Numbers with Future Estimated Primary Care and Non-Primary Care Graduates    - Thanks to people such as Beale, Ghelfi, Parker, Ricketts, and Hart that have worked lifetimes to translate the nation visually so that it might just learn to translate itself in the most important ways.

Health Access Report Card - Rating of the Five Primary Care Training Forms in Most Needed Primary Care Delivery

www.basichealthaccess.org

www.physicianworkforcestudies.org

www.ruralmedicaleducation.org