The access diagnostic

Where does access break in your system?

Six questions, drawn from building a national screening network, across the six things that decide whether care actually reaches people. It runs in your browser, and nothing you answer is sent or stored.

1How well do you know who in your population is not being reached at all?We can name the groups we are missing and roughly how manyWe have a rough sense but no real numbersWe mostly see the people who already come to us

2How far does a typical underserved person travel to reach your service?The service comes to where they live or workA manageable trip for most, hard for someFar enough that many simply do not come

3When a result needs follow-up, how reliably does that happen?There is a tracked process and someone owns the follow-upIt happens, but depends on individuals rememberingWe are not confident people are followed up

4How much of your access work is decided by data rather than habit?Utilisation and outcome data drive where we go nextWe collect data but act mostly on judgementWe plan by goodwill and geography

5How many distinct payers share the cost of reaching people?Several layers pay for the value each receivesOne or two payers carry most of itA single payer carries the whole risk

6How much do the communities you serve trust that you will turn up as promised?We are known for reliability and word of mouth carries usTrust is growing but unevenWe struggle with turnout and no-shows

Your read

Ask about a facilitated review

A facilitated review takes this further with your team: a short diagnostic session and a written memo on where to start. Tell me what you are building and I'll come back to you.

The Architect's Brief

Occasional essays by email on healthcare access, building in the field, and the people it is all for. No noise.

Dr Anith Chacko, East London, South Africa

anith@anithchacko.com

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