Table 1: Six dimensions related to the Penchansky and Thomas model of access to health care services25
Original Penchansky and Thomas modelAvailability of health care resourcesResources (personnel, equipment, technology), prevailing wait times
Accessibility as it relates to geographic considerationsCentralized services, "close to home" care, transportation
Accommodation in terms of how health care is organized and deliveredCoordination and integration of services, satellite cancer clinics, telemedicine
Affordability as it relates to direct and indirect costs of receiving careFunding of cancer services, insurance/drug coverage, indirect patient costs (lodging, transportation)
Acceptability as it relates to the attitudes and characteristics of patients and providersPatient and provider attitudes toward one another, patient characteristics (e.g., age, sex, comorbid conditions, life expectancy), patient preferences, provider characteristics (sex, years of practice, level of specialization, surgery volume)
Added*Awareness of services and indications for their usePatient and provider awareness of evidence for therapy, clinical practice guidelines, structures that support multidisciplinary dialogue/consultation

*More recently, MacKillop identified and described this additional important dimension of access.26