Access to health services affects the well-being of millions of consumers. Although the topic of health-related access is regularly featured in popular and academic conversations, these conversations primarily concentrate on objective or situational access factors. This research focuses instead on consumers’ subjective perception of access to better appreciate how personally experienced service availability and ease of access jointly determine consumers’ access perceptions. The authors find that perceived access to health services (PAHS) offers insight into the relationships between access, perceived health vulnerability, and overall health. Through scale development and a series of three theory-testing studies, this work demonstrates the close link between PAHS and perceived vulnerability (Study 1), connects this relationship to overall health (Studies 1–3), and establishes behavioral changes associated with access-vulnerability concerns (Study 2). Moreover, Study 3 finds evidence for a “muting” effect of health system distrust on the relationship between PAHS and perceived vulnerability as well as an “amplifying” effect of health motivation on the relationship between perceived vulnerability and overall health. Together, these studies illustrate PAHS’s relevance for explaining consumer vulnerability and overall health.

中文翻译：

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消费者对卫生服务的感知及其对脆弱性和健康结果的影响

获得卫生服务影响数百万消费者的福祉。尽管与健康相关的访问主题经常出现在流行和学术对话中，但这些对话主要集中在客观或情境访问因素上。本研究侧重于消费者对访问的主观感知，以更好地了解个人体验的服务可用性和访问的便利性如何共同决定消费者的访问感知。作者发现，感知卫生服务的可及性 (PAHS) 提供了对可及性、感知健康脆弱性和整体健康之间关系的洞察。通过规模发展和一系列三项理论测试研究，这项工作证明了 PAHS 与感知脆弱性之间的密切联系（研究 1），将这种关系与整体健康联系起来（研究 1-3），并建立与访问漏洞问题相关的行为变化（研究 2）。此外，研究 3 发现了卫生系统不信任对 PAHS 与感知脆弱性之间关系的“静音”效应以及健康动机对感知脆弱性与整体健康之间关系的“放大”效应的证据。总之，这些研究说明了 PAHS 与解释消费者脆弱性和整体健康的相关性。研究 3 发现了卫生系统不信任对 PAHS 与感知脆弱性之间关系的“静音”效应以及健康动机对感知脆弱性与整体健康之间关系的“放大”效应的证据。总之，这些研究说明了 PAHS 与解释消费者脆弱性和整体健康的相关性。研究 3 发现了卫生系统不信任对 PAHS 与感知脆弱性之间关系的“静音”效应以及健康动机对感知脆弱性与整体健康之间关系的“放大”效应的证据。总之，这些研究说明了 PAHS 与解释消费者脆弱性和整体健康的相关性。