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Table 1 Dimensions of access to care

From: Adolescents’ perceived barriers to accessing sexual and reproductive health services in California: a cross-sectional survey

Penchanksy and Thomas’s dimensions of access

Survey item

Availability: volume and type of services to meet the clients’ needs

Lack of access: It would be easy for me to go to a clinic1

Accessibility: location of the services and how easily the clients can reach the location, including cost and travel time

Accommodation: how services are organized (including appointment systems, telephone services) and the clients’ perception of their appropriateness

Confidentiality of services: I would be worried about getting sexual health services because my parents/guardians, family, sexual partner, or friends may find out

Test results: I would be worried about test results

Affordability: the prices of services and insurance requirements compared to the clients’ ability to pay

Cost of service: I would be worried about cost

Acceptability: clients’ preferences for the personal characteristics and attitudes of providers

Judgment by staff: I would be worried that clinic staff may judge or disrespect me

Discomfort talking with staff: I would feel comfortable talking with clinic staff about my sexual health and questions

Awareness: client knowledge and awareness of existing services through effective communication and information strategies

Lack of knowledge about visit: I know what to expect if I go to a clinic

  1. 1A single question operationalizes the dimensions of availability and accessibility, because they overlap conceptually