Access to healthcare for people with disabilities in South Africa: Bad at any time, worse during COVID-19?

Access to healthcare for people with disabilities in South Africa: Bad at any time, worse during COVID-19?
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DOI:
10.4102/safp.v63i1.5226
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发表时间:
2021-07-19
期刊:
South African family practice : official journal of the South African Academy of Family Practice/Primary Care
影响因子:
--
通讯作者:
Swartz L
Swartz L
中科院分区:
其他
文献类型:
--
作者:
McKinney EL;McKinney V;Swartz L

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残疾人,特别是生活在低收入和中等收入国家的残疾人,在获得医疗保健服务和支持方面面临重大挑战。在发生灾害和紧急情况时,残疾人被进一步边缘化和排斥。在2019冠状病毒病(COVID-19)大流行期间,许多残疾人士无法使用医疗设施,接受治疗干预或康复,或获得药物。在那些能够进入设施的人中,许多人在获得拯救生命的治疗,如重症监护室入院和呼吸机支持方面遇到挑战,有时甚至是直接歧视。此外,研究表明,残疾人感染病毒的风险更高,原因包括需要人际照顾者和居住在住宅设施中。我们探讨了居住在南非的残疾人目前在访问医疗设施方面遇到的一些挑战。
People with disabilities, especially those living in low- and middle-income countries, experience significant challenges in accessing healthcare services and support. At times of disasters and emergencies, people with disabilities are further marginalised and excluded. During the coronavirus disease 2019 (COVID-19) pandemic, many people with disabilities are unable to access healthcare facilities, receive therapeutic interventions or rehabilitation, or gain access to medication. Of those who are able to access facilities, many experience challenges, and at times direct discrimination, accessing life-saving treatment such as intensive care unit admission and ventilator support. In addition, research has shown that people with disabilities are at higher risk of contracting the virus because of factors that include the need for interpersonal caregivers and living in residential facilities. We explore some of the challenges that people with disabilities residing in South Africa currently experience in relation to accessing healthcare facilities.