Access to primary healthcare services by people with disabilities

Paula Marciana Pinheiro de Oliveira, Gisele Mendes da Silva, Neucilia Oliveira Silva, Sonha Maria Coelho de Aquino, Dandara Araújo Viana, Edmara Chaves Costa, Andressa Suelly Saturnino de Oliveira
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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.
残疾人获得初级保健服务的机会
目的:分析听力、身体和视觉障碍者获得初级卫生保健服务的情况。方法:对250名参与者进行了一项横断面研究,并分三个阶段进行数据收集:与卫生部门联系,确定初级卫生保健单位覆盖范围内残疾人的住所,以及分析综合数据。结果:老年人、非白种人、男性、已婚或双方自愿结合者占主导地位。包括汽车、摩托车或自行车在内的自助交通工具是获得服务的主要方式,其次是步行。大多数人在六个月内寻求保健服务,其次是那些在六个月至一年内寻求保健的人,主要是因为慢性病或病情恶化。结论:交通障碍、建筑障碍和通信障碍等多重障碍证明了无障碍的存在。对实践的贡献:重要的是要考虑残疾人口在卫生保健方面的差距、脆弱性和健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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