title: [A comprehensive and critical view of conceptual models for access to health services, 1970-2013].
abstract: The aim of this study was to critically analyze various conceptual models on access to health services described in the literature from 1970 to 2013. A systematic review was conducted on applied and theoretical research publications that explicitly conceptualized access to health services. The review included 25 articles that met the study's objectives. The analysis used a matrix containing the conceptual model's logic and its description. Access to health services was classified in five categories: (i) decent minimums, (ii) market-driven, (iii) factors and multicausality, (iv) needs-based, and (v) social justice and the right to health. The study concludes that the predominant concept of access in the literature has been the market logic of medical care services, linked to the logic of factors and multicausality. Meanwhile, no conceptual model was found for access to health services based explicitly on social justice and the right to health.
authors.affiliation: Pontificia Universidad Javeriana, Cali, Colombia.
authors.forename: Marcela
authors.initials: M
authors.lastname: Arrivillaga
authors.affiliation: Universidad de Antioquia, Medellin, Colombia.
authors.forename: Yadira Eugenia
authors.initials: YE
authors.lastname: Borrero
mesh_terms: D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008389:Marketing of Health Services; D008962:Models, Theoretical; D012935:Social Justice