'You must carry your wheelchair'--barriers to accessing healthcare in a South African rural area.
'You must carry your wheelchair'--barriers to accessing healthcare in a South African rural area.
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DOI：
10.3402/gha.v8.29003
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发表时间：
2015
影响因子：
2.6
通讯作者：
Mannan H
中科院分区：
文献类型：
--
作者：
Vergunst R;Swartz L;Mji G;MacLachlan M;Mannan H
有国际证据表明，残疾人在获得初级保健服务时面临障碍，而且没有足够的信息说明如何采取有效干预措施来改善残疾人的生活，特别是在低收入和中等收入国家。贫困的农村居民在获得初级卫生保健方面普遍遇到障碍，而这些问题在残疾人中更为严重。在这项研究中，我们探讨了南非贫困的科萨农村社区马德瓦莱尼的残疾人在获得医疗保健方面面临的挑战。有目的的抽样与26名参与者，使用半结构化访谈和内容分析，以确定主要主题。这项研究表明，残疾人在医疗保健方面存在许多障碍。这些障碍包括实际障碍，包括地理和人员配置问题，以及态度障碍。有人建议，尽管存在需要解决的实际障碍，但态度障碍可能会更容易且更经济有效地解决。
There is international evidence that people with disabilities face barriers when accessing primary healthcare services and that there is inadequate information about effective interventions that work to improve the lives of people with disabilities, especially in low-income and middle-income countries. Poor rural residents generally experience barriers to accessing primary healthcare, and these problems are further exacerbated for people with disabilities. In this study, we explore the challenges faced by people with disabilities in accessing healthcare in Madwaleni, a poor rural Xhosa community in South Africa. Purposive sampling was done with 26 participants, using semi-structured interviews and content analysis to identify major themes. This study showed a number of barriers to healthcare for people with disabilities. These included practical barriers, including geographical and staffing issues, and attitudinal barriers. It is suggested that although there are practical barriers that need to be addressed, attitudinal barriers could potentially be addressed more easily and cost effectively.