![]() Some authors view access more as an attribute of health services, noting the fact that services can be accessed or utilised by those requiring care. While the term access is often used to describe factors or characteristics influencing the initial contact or use of services, opinions differ regarding aspects included within access and whether the emphasis should be put more on describing characteristics of the providers or the actual process of care. Īccess has been conceptualised in numerous ways. Within health care, access is always defined as access to a service, a provider or an institution, thus defined as the opportunity or ease with which consumers or communities are able to use appropriate services in proportion to their needs. Įtymologically, access is defined as a way of approaching, reaching or entering a place, as the right or opportunity to reach, use or visit. ![]() However, access to health care remains a complex notion as exemplified by the varying interpretations of the concept across authors. In fact, the importance of service delivery for people has resulted in measurement of utilisation and access having a prominent role in the health policy literature. This paper explains the comprehensiveness and dynamic nature of this conceptualisation of access to care and identifies relevant determinants that can have an impact on access from a multilevel perspective where factors related to health systems, institutions, organisations and providers are considered with factors at the individual, household, community, and population levels.Īccess to healthcare is central in the performance of health care systems around the world. Five corollary dimensions of abilities include: 1) Ability to perceive 2) Ability to seek 3) Ability to reach 4) Ability to pay and 5) Ability to engage. In this framework, five corresponding abilities of populations interact with the dimensions of accessibility to generate access. ![]() We conceptualise five dimensions of accessibility: 1) Approachability 2) Acceptability 3) Availability and accommodation 4) Affordability 5) Appropriateness. Here, we view access as the opportunity to identify healthcare needs, to seek healthcare services, to reach, to obtain or use health care services, and to actually have a need for services fulfilled. The most cited frameworks served as a basis to develop a revised conceptual framework. MethodsĪ synthesis of the published literature on the conceptualisation of access has been performed. The aim of this paper is to suggest a conceptualisation of access to health care describing broad dimensions and determinants that integrate demand and supply-side-factors and enabling the operationalisation of access to health care all along the process of obtaining care and benefiting from the services. However, access to health care remains a complex notion as exemplified in the variety of interpretations of the concept across authors. Access is central to the performance of health care systems around the world.
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I had enough of figuring out how to run Java, or print pictures or deal with install quirks or never figuring out how to get flash running or living in fear of installing non-RPM software lest it toast my system. Even though the damage was my fault I was sick of driving a car with no seatbelt. Photo: web (340K JPEG), print (8.In a classic example of 'too stupid for my own good' I tried something very dangerous during my upgrade to Mandrake 10, the Linux distribution I run, and managed to fry my partition table. Media Relations: Corporate & North America O’Reilly Sees Strong Sales and Company Growth with Early 2022 Momentum – 8/3/22. ![]() O’Reilly Awarded for “Best Diversity, Equity & Inclusion Strategy” by Brandon Hall Group – 9/6/22.O’Reilly Announces Winners of the 2022 O’Reilly Awards – 9/20/22.An active participant in the technology community, the company has a long history of advocacy, meme-making, and evangelism.Įmail a link to this press release Recent Press Releases Since 1978, O’Reilly Media has been a chronicler and catalyst of cutting-edge development, homing in on the technology trends that really matter and spurring their adoption by amplifying “faint signals” from the alpha geeks who are creating the future. O’Reilly Media spreads the knowledge of innovators through its books, online services, magazines, and conferences. Innovative yet easy to use, Spring exemplifies the creative Retrieve and manage information, and to communicate with others. Users work with canvases and icons (called Spring Objects) to Runner-up Spring is a unique, web-inspired desktop for the Mac OS X The full version includes a weblog editor, Internet scrapbook,Īdvanced search functionality, and is AppleScriptable. Intuitive user interface that builds on the elegance and power of Mac Winner NetNewsWire is a popular RSS news reader for Mac OS X thatįetches and displays news from thousands of different web sites via an Looking forward to OSCON and our Mac OS X conference." While Rob was demoing Spring for conference attendees. One point I looked over and saw Brent jawing with a group of developers Said Derrick Story, Mac DevCenter managing editor. "We had a reception for Brent and Robb Thursday night at ETech, withĪpple Developer Connection providing some excellent food and drinks," Simmons and Beal's applications were installed on all theĬomputers in the conference's ADC-sponsored Rendezvous Lounge soĬonference attendees could experience them first-hand. 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Grim by anyone's standards, Frailty is as atypical a debut as they come, as lucid as a waking nightmare and nearly as hard to shake, chock-full of memorable performances (and Texans) and one particularly stunning turn from a character named "Otis."Īustin Chronicle: You started off as a set dresser for Roger Corman, and I was curious if any of his legendary parsimony carried over into your directorial debut?īill Paxton: I've got a little bit of a producer's heart, and I've always had a great appreciation for efficiency on a film shoot, trying to find ways to economize while maximizing what's up on the screen. Trouble is, all those demons look just like ordinary people. ![]() Paxton's directorial debut Frailty is hardly a vanity project, though it's a Texas gothic tour de force that focuses on a father of two young boys who believes he's been charged by God to slay the demons that walk the streets of his rural community. 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Bill Paxton stars in Frailty, a Texas gothic that also marks the actor's directorial debut. It’s personal freedom, without other people-the negative liberty of “Don’t tread on me.” The freedom it champions is very different from Alexis de Tocqueville’s art of self-government. Free America draws on libertarian ideas, which it installs in the high-powered engine of consumer capitalism. None can be understood apart from the others, because all four emerge from the same whole.Ĭall the first narrative “Free America.” In the past half century it’s been the most politically powerful of the four. They overlap, morph into one another, attract and repel one another. Over the past four decades, the four narratives have taken turns exercising influence. They reflect schisms on both sides of the divide that has made us two countries, extending and deepening the lines of fracture. They have roots in history, but they are shaped by new ways of thinking and living. In their place, four rival narratives have emerged, four accounts of America’s moral identity. The 1970s ended postwar, bipartisan, middle-class America, and with it the two relatively stable narratives of getting ahead and the fair shake. We have to understand this exchange in order to grasp how we got to where we are. By the turn of the millennium, the Democrats were becoming the home of affluent professionals, while the Republicans were starting to sound like populist insurgents. Since then, the two parties have just about traded places. They were more restrained than we are, more repressed-though restraint and repression were coming undone by 1968. Americans then were more uniform than we are in what they ate (tuna noodle casserole) and what they watched ( Bullitt). Liberal Republicans and conservative Democrats played important roles in their respective parties. The two parties reflected a society that was less free than today, less tolerant, and far less diverse, with fewer choices, but with more economic equality, more shared prosperity, and more political cooperation. This arrangement held until the late ’60s-still within living memory. But, unlike today, the two parties were arguing over the same recognizable country. Republicans emphasized individual enterprise, and Democrats emphasized social solidarity, eventually including Black people and abandoning the party’s commitment to Jim Crow. The Republicans spoke for those who wanted to get ahead, and the Democrats spoke for those who wanted a fair shake. Through much of the 20th century, the two political parties had clear identities and told distinct stories. Tracing the evolution of these narratives can tell you something about a nation’s possibilities for change. The long gaze in the mirror has to end in self-respect or it will swallow us up. ![]() But just as no one can live a happy and productive life in nonstop self-criticism, nations require more than facts-they need stories that convey a moral identity. Americans know by now that democracy depends on a baseline of shared reality-when facts become fungible, we’re lost. They’re the ones that address our deepest needs and desires. The most durable narratives are not the ones that stand up best to fact-checking. There is never just one-they compete and constantly change. National narratives, like personal ones, are prone to sentimentality, grievance, pride, shame, self-blindness. Nations, like individuals, tell stories in order to understand what they are, where they come from, and what they want to be. He fires at Kylo Ren, who uses the Force to block a blaster bolt. Poe's X-Wing is damaged so that he cannot escape, so the pilot puts the map in a rolling droid unit called BB-8. 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Rey and a rogue stormtrooper called Finn find themselves in a monumental conflict between good and evil, that will see faces old and new. A scavenger called Rey has come into contact with a droid that contains a map to the legendary Luke Skywalker, who has vanished. There, multiple plans are hatched against the First Order while the secret information on the droid is slowly and surely working itself out.ģ0 years ago the Empire was defeated and now a new threat, the First Order has risen from the ashes of the Empire. They meet a pair of old buddies and after a few skirmishes between them and the determined First Order, the droid is brought to the Resistance base. Next thing either of them know is that they are on the run in order to withhold the droid from the First Order. 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