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.    [email protected]    

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

Foundation of Basic Health Access Primary Care

• Sufficient Facilities
• Sufficient and High Quality Health Care Team Members
• Sufficient Permanent Primary Care Workforce
• Sufficient Funding for Health Care for Lower and Middle Income Populations
• Primary Care Funding That Is Sufficient and Permanent, Not Able to Be Compromised By the Growth of Other Health Care, Beyond Touch from Temporary Politics and Politicians and Health Care Leaders with Other Agendas or Americans that Think They Will Live Forever Compromising Health Care for All

www.basichealthaccess.org

www.physicianworkforcestudies.org

www.ruralmedicaleducation.org