Our study suggests that current implementation and funding of AECs should include review of both the effectiveness of, and access to, these services.
In addition to advances in surgical procedures and changing preference for surgical procedures as we have illustrated, other scenarios such as changes in the effectiveness of, and access to, medical treatments may be investigated.
Given chiropractic's emphasis on disease prevention, health maintenance, and the patient-doctor relationship [ 5, 38, 40, 44], chiropractic may have a role in improving the effectiveness of and access to primary care domestically and internationally [ 43], and perhaps help to reduce health inequalities within and between countries [ 45].
To address this disparity, Canadian [ 15] and international [ 16] policy recommendations emphasize the need for further investment in primary health care systems to improve effectiveness and fairness of access to health care.
There is a continuing debate about the efficiency and cost-effectiveness of free access of this sort rather than controlled access according to need [15, 34].
DISCUSSION: The findings will help determine the effectiveness and acceptability of Internet access to a combination of interventions that are known to be beneficial to people with persistent knee pain.
This may enhance access, effectiveness and transparency of decision-making but further development is needed for this to be fully realised, including attention to process as well as the computer-mediated medium.
The findings will help determine the effectiveness and acceptability of Internet access to a combination of interventions that are known to be beneficial to people with persistent knee pain.
We modified a published version of this framework, represented by a four-by-four matrix of quality dimensions (safety, effectiveness, patient-centeredness, and access) and patients' perspectives of health care during different life stages (staying healthy, getting better, living with illness or disability, and coping with the end of life) [ 20].
It is increasingly recognised that technology has the potential to significantly improve access, engagement, effectiveness and affordability of treatment for mental health problems.
