scholarly journals Health and Access to Health Services for People with Disability in Australia: Data and Data Gaps

2021 ◽  
Vol 18 (21) ◽  
pp. 11705
Author(s):  
Nicola Fortune ◽  
Rosamond H. Madden ◽  
Shane Clifton
Keyword(s):  
Health Services ◽  
Service Use ◽  
Statistical Data ◽  
Population Group ◽  
International Classification Of Functioning ◽  
Access To Health Services ◽  
Persons With Disabilities ◽  
Access To Health ◽  
Data Gaps ◽  
People With Disability

The right of people with disability to enjoyment of the highest attainable standard of health without discrimination on the basis of disability is enshrined in the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Among its obligations as a signatory to the CRPD, Australia is required to collect appropriate information, including statistical and research data, to inform development and implementation of policies to give effect to the Convention. In this commentary, we first describe how the International Classification of Functioning, Disability and Health (ICF) conceptual model of disability can be operationalised in statistical data collections, with a focus on how this is achieved in key Australian data sources such that people with disability can be identified as a population group. We then review existing statistical data on health and health service use for people with disability in Australia, highlighting data gaps and limitations. Finally, we outline priorities and considerations for improving data on health and access to health services for people with disability. As well as conceptual, practical, and ethical considerations, a key principle that must guide future disability data development is that people with disability and their representative organisations must be involved and participate fully in the development of disability data and statistics, and in their use.

scholarly journals Movement Disability: Situations and Factors Influencing Access to Health Services in the Northeast of Thailand

2015 ◽  
Vol 12 (3) ◽  
pp. 168-174 ◽  
Author(s):  
A Wongkongdech ◽  
W Laohasiriwong
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
P Value ◽  
Residential Areas ◽  
Access To Health Services ◽  
Persons With Disabilities ◽  
Care Givers ◽  
Factors Influencing ◽  
Access To Health ◽  
Movement Disability

Background Persons with movement disability (PWMDs) are the biggest group of persons with disabilities (PWDs) with needs helps especially on health. There has been no evident to show health services accessibility situation of PWMDs in the Northeast of Thailand, the biggest region.Objective This study aimed to explore the current situation of accessibility to health services among PWMDs, and factors influencing such access.Method This cross-sectional study used a multistage stratified random sampling to select 462 subjects from the national registered PWMDs poll to response to a structured questionnaire. This study complies with the principles of the Declaration of Helsinki and was approved by the Khon Kaen University Ethics Committee for Human Research prior to the data collection.Result We found that most of PWMDs (66%) had overall health service accessibility at medium level. Factors influencing the access to health services were living in rural area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income (adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044; and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs who lived in rural areas had better access to health services especially to the sub-district health promoting hospital than those in the urban area.Conclusion Accessibly to health services of PWMDs still limited. Income, care givers and residential areas had influences on their access.Kathmandu University Medical Journal Vol.12(3) 2014; 168-174

scholarly journals Financial Barriers to Access to Health Services for Adult People with Disability in Iran: The Challenges for Universal Health Coverage

2019 ◽  
Author(s):  
Shahin SOLTANI ◽  
Amirhossein TAKIAN ◽  
Ali AKBARI SARI ◽  
Reza MAJDZADEH ◽  
Mohammad KAMALI
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Universal Health Coverage ◽  
Healthcare Services ◽  
Health Coverage ◽  
Access To Health Services ◽  
Financial Barriers ◽  
Access To Health ◽  
People With Disability ◽  
Universal Health

Background: Reducing inequities in access to healthcare is one of the most important goals for all health systems. Financial barriers play a fundamental role here. People with disability (PWD) experience further financial barriers in access to their needed healthcare services. This study aimed to explore the causes of barriers in access to health services for PWD in Tehran, Iran. Methods: In this qualitative study, we used semi-structured in-depth interviews to collect data and selected participants through purposeful sampling with maximum variation. We conducted 56 individual interviews with people with disability, healthcare providers and policymakers from Sep 2015 until May 2016, at different locations in Tehran, Iran. Results: We identified four categories and eight subcategories of financial barriers affecting access to healthcare services among PWD. Four categories were related to health insurance (i.e. lack of insurance coverage for services like dentistry, occupational therapy and speech therapy), affordability (low income for PWD and their family), financial supports (e.g. low levels of pensions for people with disabilities) and transportation costs (high cost of transportation to reach healthcare facilities for PWD). Conclusion: Financial problems can lead to poor access to health care services. To achieve universal health coverage, government should reduce health insurance barriers and increase job opportunities and sufficient financial support for PWD. 

The intersection of developmental vulnerability and socioeconomic disadvantage on access to health care for preschool aged children: evidence for the inverse-care law

2019 ◽  
Author(s):  
Sue Woolfenden ◽  
Claire Galea ◽  
Hannah Badland ◽  
Hayley Smithers-Sheedy ◽  
Katrina Williams ◽  
...  
Keyword(s):  
Health Services ◽  
Access To Health Care ◽  
Parental Education ◽  
Service Use ◽  
Socioeconomic Disadvantage ◽  
Access To Health Services ◽  
Health Services Use ◽  
Cross Sectional ◽  
Inverse Care Law ◽  
Access To Health

Abstract Aim. Children who are developmentally vulnerable have greater health needs. Socioeconomic disadvantage not only increases this risk of developmental vulnerability but can be associated with less access to health services. Our aim was to compare health services use in children aged 4-5 years in Australia with and without developmentally vulnerability and consider the intersection of socioeconomic disadvantage on this relationship. Method. Cross sectional data were collected from Wave 3 of the Longitudinal Study of Australian Children birth cohort when the children were aged 4-5 years. A composite variable for developmental vulnerability was designed by combining those children who were in the lowest 15% in the physical, socioemotional and/or learning outcome indices. Children were then subgrouped according to developmental vulnerability and disadvantage based on socioeconomic position (SEP) quintile (derived from parental education, occupation, household income). We defined SEP 1 the lowest quintile as ‘disadvantaged’ and SEP quintiles 2-5 as ‘not disadvantaged’. Multivariate regression was used to examine the intersection between health service use and developmental vulnerability and disadvantage using these composite variables. Results The total number of children with information on developmental vulnerability in Wave 3 was 3967 (90% of the sample). A total of 1292 (32.6%) children were classified as developmentally vulnerable. 30.6% of children who were developmentally vulnerable came from families who were disadvantaged. Overall children who were developmentally vulnerable were reported to use more specialist/hospital health services than those who were not developmentally vulnerable (10-25 % vs 5-16%). Children who were developmentally vulnerable and not disadvantaged were 1.4-2.0 times more likely to have reported using a GP, paediatrician, other specialist, and Emergency Department compared with children who were developmentally vulnerable and disadvantaged. Conclusion Preschool children who are developmentally vulnerable have a higher reported use of specialist and hospital services compared with those who are not developmentally vulnerable. There is evidence of an inverse care law; those who were not disadvantaged with and without developmental vulnerability are more likely to use health services compared with their counterparts who were disadvantaged.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Are nurses meeting the needs of men in primary care?

2017 ◽  
Vol 23 (4) ◽  
pp. 319
Author(s):  
Del Lovett ◽  
Bodil Rasmussen ◽  
Carol Holden ◽  
Patricia M. Livingston
Keyword(s):  
Health Services ◽  
Healthcare Access ◽  
Men’S Health ◽  
Men's Health ◽  
Service Access ◽  
Access To Health Services ◽  
Financing System ◽  
Healthcare Needs ◽  
Comprehensive Primary Health Care ◽  
Access To Health

Meeting men’s health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men’s health services and to describe men’s expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups. The main findings were: nurses and men were unclear on the role of the nurse in men’s health; and health promotion provided by nurses was predominantly opportunistic. Both participant groups indicated barriers to healthcare access related to: the culture and environment in general practice; limitation of Australia’s Medicare healthcare financing system; out-of-pocket costs, waiting time and lack of extended hours; and men not wanting to be perceived as complainers. Facilitators related to: positive inter-professional relations; effective communication; personal qualities; and level of preparedness of nurse education. The findings demonstrate a need for the role to be better understood by both men and nurses in order to develop alternative approaches to meeting men’s healthcare needs.

scholarly journals Medical Ethnobiology and Indigenous Knowledge System Found In Darai Ethnic Group of Chitwan, Nepal

2016 ◽  
Vol 21 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Manisha Poudel ◽  
Nanda Bahadur Singh
Keyword(s):  
Health Services ◽  
Indigenous Knowledge ◽  
Ethnic Group ◽  
Animal Species ◽  
Knowledge System ◽  
Easy Access ◽  
Access To Health Services ◽  
Medicinal Purpose ◽  
Indigenous Knowledge System ◽  
Access To Health

The present study focuses on traditional usages of animals and plants species for medicinal purpose and indigenous knowledge system existent in Darai ethnic group of Mangalpur VDC, Chitwan, Nepal. A total of 28 animal species and 76 plant species were found to be used by Darai people to treat 22 and 36 different ailments, respectively. Darai people have their own indigenous knowledge for making various bamboo products and fishing equipments and local drink (moat/muna). The existence of knowledge associated with animals and plants and their medicinal utility is currently threatened mainly due to modernization, easy access to health services, lack of interest of youngsters, few local healers and fading of ethnic characters of Darai ethnic group. Thus, documentation of such knowledge has become an urgent need.Journal of Institute of Science and TechnologyVolume 21, Issue 1, August 2016, page: 103-111

scholarly journals Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Janelle Hippe ◽  
Victor Maddalena ◽  
Sara Heath ◽  
Beulah Jesso ◽  
Marion McCahon ◽  
...  
Keyword(s):  
Health Services ◽  
Nurse Practitioners ◽  
Maternal Child Health ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Research Project ◽  
Community Engaged Research ◽  
Kitchen Table ◽  
Access To Health ◽  
Health Services Access

Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1) targeted distribution of a survey to communities throughout the region, and (2) informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research.Keywords: rural, remote, healthcare, health services, social determinants of health

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