尽管它很重要，但对于获得护理的机会还没有达成共识的定义，并且有关获得护理的几个基本哲学问题仍未得到解答。缺乏明确性阻碍了旨在开发和测试纠正准入障碍的方法的干预研究。为了帮助解决这个问题，我们提出了一个概念框架来帮助指导有关获得妇科癌症护理的实证研究。回顾和分析了相关的哲学和实证文献，以突出完善有关获得护理的研究所需的关键要素。DIMeS 框架涉及 1 ) 选择并论证获得癌症护理的定义将指导研究； 2) 确定基本妇科癌症护理服务的获取差异在道德上是不可接受的； 3) 定量测量影响获得护理的具体参数； 4) 选择测量参数的目标阈值，高于该阈值的访问是可接受的。DIMeS 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。应考虑将该框架用于妇科癌症护理的研究。版权所有 © 2024 Elsevier Inc. 保留所有权利。

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.Relevant philosophical and empirical literature was reviewed and analyzed to highlight key elements needed to refine research on access to care.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.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.Copyright © 2024 Elsevier Inc. All rights reserved.