Describe the relationship among health care cost, quality of care, and access to service. Cite…

➤ Why can rapid expansion of access sometimes reduce quality?
Expanding access without matching investments in workforce, infrastructure, and quality systems can strain services. That strain raises waiting times, fragmentation, and medical errors that reduce care effectiveness. Sustainable expansion requires training, information systems, and standardised protocols to protect quality (Kruk et al., 2018; WHO, 2022).