Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review.
Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review.
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DOI：
10.3390/ijerph19031472
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发表时间：
2022-01-28
影响因子：
--
通讯作者：
Lyra TM
中科院分区：
文献类型：
--
作者：
da Cunha MAO;Santos HF;de Carvalho MEL;Miranda GMD;de Albuquerque MDSV;de Oliveira RS;de Albuquerque AFC;Penn-Kekana L;Kuper H;Lyra TM
残疾人平均而言对医疗保健的需求更大，但在获得这些服务时往往面临障碍。巴西政府于2002年启动了《国家残疾人健康政策》，以解决这一不平等问题。《残疾人发展国家计划》有六个重点领域：生活质量、残疾预防、全面保健、保健服务的组织和运作、信息机制和人力资源培训。本文的目的是进行范围审查，以评估巴西残疾人在《残疾人发展国家计划》六个主题方面的经验证据。范围审查包括2002年至2019年期间发表的文章，来自四个电子数据库：PUBMED/MEDLINE，LILACS，Science Direct和Scielo。总共识别出8076篇文章，经过两名独立评审员对标题、摘要和全文进行评审后，98篇被认为符合纳入资格。证据的可获得性和范围相对有限。然而，它始终显示在向残疾人提供医疗保健方面存在巨大差距，涉及六个方面。缺乏旨在提高生活质量的行动;关于残疾问题的专业培训不足;关于残疾人健康状况的证据很少;由于普遍存在的身体、信息和态度障碍，在提供护理方面存在巨大差距;服务的供应和整合分布不良。总之，巴西的政策框架支持将残疾人纳入保健服务;然而，由于政策落实不力，仍然存在很大的不平等。
People with disabilities have greater need for healthcare on average, but often face barriers when accessing these services. The Brazilian government launched the National Health Policy for People with Disabilities (PNSPD) in 2002 to address this inequality. PNSPD has six areas of focus: quality of life, impairment prevention, comprehensive health care, organization and functioning of health services, information mechanisms, and training of human resources. The aim of this article was to undertake a scoping review to assess the evidence on the experience of people with disabilities in Brazil with respect to the six themes of the PNSPD. The scoping review included articles published between 2002 and 2019, from four electronic databases: PUBMED/MEDLINE, LILACS, Science Direct, and Scielo. In total, 8076 articles were identified, and after review of titles, abstracts, and full texts by two independent reviewers, 98 were deemed eligible for inclusion. The evidence was relatively limited in availability and scope. However, it consistently showed large gaps in delivery of healthcare to people with disabilities across the six dimensions considered. There was lack of actions aimed at promoting quality of life; insufficient professional training about disability; little evidence on the health profile of people with disabilities; large gaps in the availability of care due to widespread physical, informational, and attitudinal barriers; and poor distribution of the supply and integration of services. In conclusion, the policy framework in Brazil is supportive of the inclusion of people with disabilities in health services; however, large inequalities remain due to poor implementation of the policy into practice.
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DOI：
10.3109/17483107.2015.1027294
发表时间：
2015-01-01
影响因子：
2.2
作者：
Battistella, Linamara Rizzo;Juca, Sueli Satie H.;Ramos, Vinicius Delgado
通讯作者：
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发表时间：
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影响因子：
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Garghetti, Francine Cristine
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发表时间：
2017-01-01
影响因子：
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DOI：
10.1590/1413-812320152110.19232016
发表时间：
2016-10-01
期刊：
Ciência & Saúde Coletiva
影响因子：
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作者：
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Marinho, Alcyane
DOI：
10.4034/pboci.2011.114.21
发表时间：
2011-10-01
影响因子：
0.6
作者：
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通讯作者：
Padilha, Wilton Wilney Nascimento