The framework is presented in a flowchart format that begins with a box labeled fibarriers,fl which includes structural barriers, such as organization and coordination of services, workforce capacity, and geographic location; financial barriers; and interpersonal and personal barriers, such as cultural beliefs, health literacy, communication, stigma, and education for the provider, patient, family, and the general public. The flowchart moves from barriers to a box labeled fiuse of services,fl which includes visits, hospitalizations, procedures, and community services

FIGURE 4-2Model of access to health care services for people with epilepsy

SOURCE: Adapted from IOM, 1993.

From: 4, Health Care: Quality, Access, and Value

Cover of Epilepsy Across the Spectrum
Epilepsy Across the Spectrum: Promoting Health and Understanding.
Institute of Medicine (US) Committee on the Public Health Dimensions of the Epilepsies; England MJ, Liverman CT, Schultz AM, et al., editors.
Washington (DC): National Academies Press (US); 2012.
Copyright © 2012, National Academy of Sciences.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.