Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies.
Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies.
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DOI：
10.1186/s12905-021-01189-5
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发表时间：
2021-01-30
期刊：
影响因子：
--
通讯作者：
Soltani S
中科院分区：
文献类型：
--
作者：
Matin BK;Williamson HJ;Karyani AK;Rezaei S;Soofi M;Soltani S
研究表明，不同的社会经济和结构因素可能会限制残疾妇女获得医疗保健。目前的研究的目的是审查障碍，在获得医疗服务的残疾妇女（WWD）国际。我们对2009年1月至2017年12月PubMed、Web of Science和Scopus数据库中的相关定性文章进行了系统综述。搜索策略基于两个主要主题：（1）获得医疗保健;（2）残疾。在这次审查中，包括了患有不同类型残疾（身体、感官和智力残疾）的女性（18岁以上）。如果研究没有经过同行审查，并且重点是残疾男子，则被排除在外。24篇文章符合最终审查的纳入标准。在每项研究中，参与者都指出了获得医疗保健的各种障碍。调查结果显示，WWD面临不同的社会文化，（错误的假设，消极的态度，被忽视，被评判，暴力，虐待，侮辱，不礼貌，健康素养低），财务（贫困、失业、高交通成本）和结构性（缺乏保险，无法使用设备和运输设施，缺乏知识，缺乏信息，缺乏透明度，和沟通问题）影响他们获得医疗保健的因素。卫生保健系统需要培训卫生保健工作人员尊重WWD，关注他们的偏好和选择，提供非歧视和尊重的治疗，并解决对WWD的污名化态度。此外，家庭和社区需要参与宣传工作，以促进妇女发展署获得医疗保健。
Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally. We conducted a systematic review of relevant qualitative articles in PubMed, Web of Science and Scopus databases from January 2009 to December 2017. The search strategy was based on two main topics: (1) access to healthcare; and (2) disability. In this review, women (older than 18) with different kinds of disabilities (physical, sensory and intellectual disabilities) were included. Studies were excluded if they were not peer-reviewed, and had a focus on men with disabilities. Twenty four articles met the inclusion criteria for the final review. In each study, participants noted various barriers to accessing healthcare. Findings revealed that WWD faced different sociocultural (erroneous assumptions, negative attitudes, being ignored, being judged, violence, abuse, insult, impoliteness, and low health literacy), financial (poverty, unemployment, high transportation costs) and structural (lack of insurance coverage, inaccessible equipment and transportation facilities, lack of knowledge, lack of information, lack of transparency, and communicative problems) factors which impacted their access healthcare. Healthcare systems need to train the healthcare workforce to respect WWD, pay attention to their preferences and choices, provide non-discriminatory and respectful treatment, and address stigmatizing attitudinal towards WWD. In addition, families and communities need to participate in advocacy efforts to promote WWD’s access to health care.
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