Abstract
Vaginal agenesis is one of the most common congenital anomalies of the female genital tract, occurring in 1 out of 5,000 to 10,000 live born females [1]. It may present either as an isolated developmental defect or within a complex of other anomalies and is commonly associated with Mayer Rokitansky Küster Hauser syndrome. Several surgical methods for vaginal reconstruction have been introduced in the literature
Highlights
The five dimensions of access are availability, accessibility, accommodation, affordability, and acceptability [1]
It is vital to utilize the model to determine what aspects of structure and process affect utilization, access outcomes like physicians visit, utilization of proposed interventional services, or use of emergency department visits
Since the constructs of the framework are interrelated, like vulnerable population’s need for care and existing system delivery together impact the process of care and the health risks the population carry which in turn impacts the overall health of the population, its crucial to utilize the entire model to understand the complex situations that affect telehealth and utilization of care
Summary
The five dimensions of access are availability, accessibility, accommodation, affordability, and acceptability [1]. The common barriers to access to healthcare are structural (availability, delivery system organization and transportation), financial (insurance coverage, reimbursement levels, and public support), and personal (acceptability, cultural, language, attitudes, and education/income), which affects health and wellbeing of an individual [3]. Healthcare costs rise with increased utilization of high-cost services or emergency department visits caused due to unmet medical needs and timely access to care barriers [9]. Patients and providers play a vital role in help identifying the barriers to access to care, quality of care, or general issues they face regarding the process of healthcare they receive [17,18] It could help reduce the disparity associated with utilization among the vulnerable group of patients with unmet medical needs. Its implementation leads to improving the cost and quality of healthcare for all types of patients
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