A National Accessibility Audit of Primary Health Care Facilities in Brazil-Are People with Disabilities Being Denied Their Right to Health?
A National Accessibility Audit of Primary Health Care Facilities in Brazil-Are People with Disabilities Being Denied Their Right to Health?
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DOI：
10.3390/ijerph18062953
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发表时间：
2021-03-13
影响因子：
--
通讯作者：
Kuper H
中科院分区：
文献类型：
--
作者：
Pinto A;Köptcke LS;David R;Kuper H
医疗设施的可达性差是残疾人寻求护理的主要障碍。然而，可访问性很少受到定期审核。本研究报告了在巴西进行的首次全国初级卫生保健设施可及性评估的结果。 2012 年，训练有素的工作人员对巴西所有 38,812 个初级医疗机构进行了全国无障碍审计，使用了 22 项结构化调查问卷。创建了总体可访问性得分（22 个项目）和三个子量表：外部可访问性（8 个项目）、内部可访问性（8 个项目）、信息可访问性（6 个项目）。主要发现是，巴西初级保健设施的整体可及性得分较低（平均值为 22，标准差 (SD) 为 0.21，评分范围为 0-100）。医疗机构不同方面的无障碍程度也较低，包括外部空间（平均值 = 31.0，SD = 2.0）、内部空间（18.9，1.9）以及其他视觉或听力障碍人士的无障碍设施（6.3，SD = 1.0）。巴西最贫困地区和较大城市（表示更多城市地区）的设施的得分始终较高。总之，进行大规模的无障碍审核是可行的。无障碍环境差意味着残疾人在获得医疗保健方面会遇到困难，根据国际和巴西法律，这侵犯了他们的权利。
Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.
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DOI：
10.1590/s1413-81232006000300002
发表时间：
2006-09-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
Felisberto, Eronildo
通讯作者：
Felisberto, Eronildo
影响因子：
0.9
作者：
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通讯作者：
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DOI：
10.1590/s1413-81232012000700022
发表时间：
2012-07-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
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通讯作者：
Alves, Simone Bezerra
DOI：
10.4102/ajod.v8i0.539
发表时间：
2019-01-01
期刊：
African Journal of Disability (Online)
影响因子：
--
作者：
Paulus-Mokgachane, Thato M.M.;Visagie, Surona J.;Mji, Gubela
通讯作者：
Mji, Gubela
影响因子：
3.7
作者：
Eide, Arne H.;Mannan, Hasheem;Dyrstad, Karin
通讯作者：
Dyrstad, Karin