Abstract：
BACKGROUND: Despite its importance, there is no consensus definition of access to care, and several fundamental philosophical questions about access remain unanswered. Lack of clarity impedes interventional research designed to develop and test methods of correcting barriers to access. To help remedy this problem, we propose a conceptual framework to help guide empirical research about access to gynecologic cancer care.
METHODS: Relevant philosophical and empirical literature was reviewed and analyzed to highlight key elements needed to refine research on access to care.
RESULTS: The DIMeS framework involves 1) choice and justification of a Definition of access to cancer care that will guide research; 2) Identification of essential gynecologic cancer care services for which access disparities are ethically unacceptable; 3) quantitative MEasurement of specific parameters that affect access to care; and 4) Selection of a target threshold on measured parameters above which access is acceptable.
CONCLUSIONS: The DIMeS framework provides clarity and reproducibility for investigators seeking to develop and test interventions to improve cancer health equity. This framework should be considered for use in research on access to gynecologic cancer care.
METHODS: Relevant philosophical and empirical literature was reviewed and analyzed to highlight key elements needed to refine research on access to care.
RESULTS: The DIMeS framework involves 1) choice and justification of a Definition of access to cancer care that will guide research; 2) Identification of essential gynecologic cancer care services for which access disparities are ethically unacceptable; 3) quantitative MEasurement of specific parameters that affect access to care; and 4) Selection of a target threshold on measured parameters above which access is acceptable.
CONCLUSIONS: The DIMeS framework provides clarity and reproducibility for investigators seeking to develop and test interventions to improve cancer health equity. This framework should be considered for use in research on access to gynecologic cancer care.
摘要：
背景：尽管它很重要，没有关于获得护理的共识定义，关于访问的几个基本哲学问题仍然没有答案。缺乏清晰度阻碍了旨在开发和测试纠正进入障碍的方法的介入研究。为了帮助解决这个问题，我们提出了一个概念框架，以帮助指导有关获得妇科癌症护理的实证研究。
方法：对相关的哲学和实证文献进行了回顾和分析，以突出完善关于获得护理的研究所需的关键要素。
结果：DIMeS框架涉及1）选择和证明将指导研究的癌症护理的定义；2）确定在道德上无法接受的基本妇科癌症护理服务；3）定量测量影响获得护理的特定参数；4）在测量参数上选择目标阈值，高于该阈值的访问是可以接受的。
结论：DIMoS框架为寻求开发和测试干预措施以改善癌症健康公平性的研究人员提供了清晰度和可重复性。应考虑将此框架用于妇科癌症护理的研究。
方法：对相关的哲学和实证文献进行了回顾和分析，以突出完善关于获得护理的研究所需的关键要素。
结果：DIMeS框架涉及1）选择和证明将指导研究的癌症护理的定义；2）确定在道德上无法接受的基本妇科癌症护理服务；3）定量测量影响获得护理的特定参数；4）在测量参数上选择目标阈值，高于该阈值的访问是可以接受的。
结论：DIMoS框架为寻求开发和测试干预措施以改善癌症健康公平性的研究人员提供了清晰度和可重复性。应考虑将此框架用于妇科癌症护理的研究。
