Access to primary healthcare services by people with disabilities
DOI:
https://doi.org/10.15253/2175-6783.20232491538Keywords:
Health Services Accessibility; Disabled Persons; Primary Health Care; Health Vulnerability.Abstract
Objective: to analyze the access of people with hearing, physical, and visual disabilities to primary healthcare services. Methods: a cross-sectional study was conducted with 250 participants, and data collection was implemented in three stages: contact with the health department, locating the residences of persons with disabilities within the coverage area of the primary healthcare unit, and analysis of integrated data. Results: there was a predominance of older individuals, individuals of non-white race/ethnicity, males, and those who were either married or in a consensual union. Self-transportation, including cars, motorcycles, or bicycles, was the primary means of access to services, followed by walking. Most individuals sought health services within six months, followed by those who sought care between six months and one year, mainly because of chronic or worsening conditions. Conclusions: impaired access was identified, as evidenced by multiple barriers, including transportation, architectural, and communication barriers. Contributions to practice: it is important to consider the disparities, vulnerabilities, and health status of the disabled population in health care.
References
World Health Organization (WHO). Global report on health equity for persons with disabilities [Internet]. 2022 [cited Jan 14, 2023]. Available from: https://www.who.int/publications/i/item/9789240063600
Campillay MC, Carrasco AC, Dubo P, Rodríguez JM, Mandiola JC, López JV. Accessibility in people with disabilities in primary healthcare centers: a dimension of the quality of care. Int J Environ Res Public Health. 2022;19(19):e12439. doi: https://doi.org/10.3390/ijerph191912439
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. A pessoa com deficiência e o Sistema Único de Saúde [Internet]. 2008 [cited Feb 14, 2023]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/07_0327_M.pdf
Francisco PM, Assumpção D, Bacurau AG, Neri AL, Malta DC, Borim FS. Prevalence of chronic diseases in octogenarians: data from the National Health Survey 2019. Ciênc Saúde Colet. 2022;27(7):2655-65. doi: https://doi.org/10.1590/1413-81232022277.22482021
Carvalho FC, Bernal RT, Perillo RD, Malta DC. Association between positive assessment of Primary Health Care, sociodemographic characteristics and comorbidities in Brazil. Rev Bras Epidemiol. 2022;25:e220023. doi: https://doi.org/10.1590/1980-549720220023.2
Giovanella L, Franco, CM, Almeida PF. National Primary Health Care Policy: where are we headed to? Ciênc Saúde Colet. 2020;25(4):1475-81. doi: https://doi.org/10.1590/1413-81232020254.01842020
Oliveira GS, Pacheco ZM, Salimena AM, Ramos CM, Paraíso AF. Snow ball method in qualitative research with sheets and transexual women. Saúde Coletiva. 2021;11(68):7581-8. doi:https://dx.doi.org/10.36489/saudecoletiva.2021v11i68p7581-7588
Ministério da Saúde (BR). Asis: análise de situação de saúde [Internet]. 2015 [cited Feb 12, 2023]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/asis_analise_situacao_saude_volume_1.pdf
Oliveira PM, Medeiros AE, Luzia FJ, Silva GM, Bezerra JC, Beserra GL, et al. Knowledge of community health agents about visually impaired people. Acta Paul Enferm. 2022;35:eAPE03372. doi: https://doi.org/10.37689/acta-ape/2022AO03372
Aguiar AS, Lima MM, Torres RA, Silva LM, Almeida PC, Grimaldi MR. People with disabilities in Brazil and public health policies. Rev Enferm Atual In Derme. 2021;95(36):e-021160. doi: https://doi.org/10.31011/reaid-2021-v.95-n.36-art.1107
Chen YM, Chiang TL, Chen DR, Tu YK, Yu HW, Chiu WY. Differing determinants of disability trends among men and women aged 50 years and older. BMC Geriatr. 2022;22(1):11. doi: https://doi.org/10.1186/s12877-021-02574-3
Jang SN, Kawachi I. Care inequality: care received according to gender, marital status, and socioeconomic status among Korean older adults with disability. Int J Equity Health. 2019;18(1):105. doi: https://doi.org/10.1186/s12939-019-1008-0
Darkwah KA, Iddi S, Nonvignon J, Aikins M. Characterization of functional disability among older adults in Ghana: a multi-level analysis of the study on global ageing and adult health (SAGE) Wave II. PLoS One. 2022;17(11):e0277125. doi: https://doi.org/10.1371/journal.pone.0277125
Amirova A, Rimes KA, Hackett RA. Perceived discrimination in middle-aged and older adults: comparison between England and the United States. Public Health. 2022;10:975776. doi: https://doi.org/10.3389/fpubh.2022.975776
Instituto Brasileiro de Geografia e Estatística (IBGE). Desigualdades Sociais por Cor ou Raça no Brasil - 2ª edição [Internet]. 2023 [cited Feb 12, 2023]. Available from: https://www.ibge.gov.br/estatisticas/sociais/populacao/25844-desigualdades-sociais-por-cor-ou-raca.html?=&t=resultados
Souza AF, Grossi GL, Melo EC. Inclusive education and ethnic-racial relations: an afro-centred intersectional analysis. Rev Educ PUC-Camp. 2022;27:e225428,. doi: http://doi.org/10.24220/2318-0870v27e2022a5428
Lopes WS. Meia lua falciforme: poesia, dor e luta. Rev Eletr Comun Inf Inov Saúde. 2020;14(4):997-1000. doi: https://dx.doi.org/10.29397/reciis.v14i4.2131
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde 2019: ciclos de vida [Internet]. Brasília, DF: IBGE; 2021 [cited Feb 14, 2023]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101846.pdf
Mello LS, Cabistani LG. Capacitismo e lugar de fala: repensando barreiras atitudinais. Rev DPERS [Internet]. 2019 [cited Feb 5, 2023];(23):118-39. Available from: https://revista.defensoria.rs.def.br/defensoria/article/view/112
Clemente KA, Silva SV, Vieira GI, Bortoli MC, Toma TS, Ramos VD, et al. Barriers to the access of people with disabilities to health services: a scoping review. Rev Saud Public. 2022;56:64. doi: https://doi.org/10.11606/s1518-8787.2022056003893
Luzia FJ, Silva NO, Carneiro JB, Silva LS, Rodrigues FL, Grimaldi MR, et al. Desafios no acesso aos serviços de saúde por pessoas com deficiência: revisão integrativa. Rev Enferm Atual In Derme. 2023;97(2):e023079. doi: https://doi.org/10.31011/reaid-2023-v.97-n.2-art.1538
Araújo RF, Coura AS, Carvalho IJ, Farias RG, Aragão JS, França IS. Nurse perception regarding cytopathological exams in physically disabled women. Rev Rene. 2023;24:e81786. doi: https://doi.org/10.15253/2175-6783.20232481786
Malta DC, Bernal RT, Lima MG, Silva AG, Szwarcwald CL, Barros MB. Socioeconomic inequalities related to noncommunicable diseases and their limitations: National Health Survey, 2019. Rev Bras Epidemiol. 2021;24(suppl 2):e210011. doi: https://doi.org/10.1590/1980-549720210011.supl.2
Saldanha JH, Pereira AP, Santos AO, Miranda BS, Carvalho HK, Nascimento LC, et al. Persons with disabilities during the COVID-19 pandemic: guaranteeing fundamental rights and equity in care. Cad Saúde Pública. 2021;37(9):e00291720. doi: https://doi.org/10.1590/0102-311X00291720
Martins JA, Watanabe HA, Braga VA, Jesus MC, Merighi MA. Older adults with physical disabilities: vulnerabilities relative to the body, the physical and social environment. Rev Bras Enferm. 2020;73(Suppl 3):e20190175. doi: https://doi.org/10.1590/0034-7167-2019-0175
Cruz PK, Vieira MA, Carneiro JA, Costa FM, Caldeira AP. Difficulties of access to health services among non-institutionalized older adults: prevalence and associated factors. Rev Bras Geriatr Gerontol. 2020;23(06):e190113. doi: https://doi.org/10.1590/1981-22562020023.190113
Mattos JC, Balsanelli AP. A liderança do enfermeiro na atenção primária à saúde: revisão integrativa. Enferm Foco. 2019;10(4):164-71. doi: https://doi.org/10.21675/2357-707X.2019.v10.n4.2618
Muniz VO, Braga LC, Araujo PO, Santana PP, Pereira GS, Sousa AR, et al. Self-care deficit among older men in the COVID-19 pandemic: implications for nursing. Rev Bras Enferm. 2022;75(Suppl 4):e20210933. doi: https://doi.org/10.1590/0034-7167-2021-0933
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