Accès aux soins et à la prévention des personnes en situation de handicap en France : une exploitation de l’enquête Handicap-Santé-Ménages

Pichetti, Sylvain; Penneau, Anne; Lengagne, Pascale; Sermet, Catherine

doi:10.1016/j.respe.2015.11.009

Cited by 11 publications

(12 citation statements)

References 21 publications

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“…As a result, a person with hearing loss coming from a lower SEP is more likely to experience unmet healthcare needs due to a combination of factors, including income, education, access to health services, and disability. Thus, the disadvantaged social situation of people with functional limitations such as hearing loss is a significant additional barrier to their already limited access to health care (Bainbridge & Ramachandran, 2014; Chien & Lin, 2012; Nieman & Lin, 2017; Nieman et al., 2016; Pichetti et al., 2016). It should be noted that the impact of SEP on hearing aid uptake is closely related to the hearing aid dispensing arrangements in each country.…”

Section: Resultsmentioning

confidence: 99%

Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis

et al. 2021

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Hearing loss is a major health challenge that can have severe physical, social, cognitive, economic, and emotional consequences on people’s quality of life. Currently, the modifiable factors linked to socioeconomic inequalities in hearing health are poorly understood. Therefore, an online database search (PubMed, Scopus, and Psych) was conducted to identify literature that relates hearing loss to health inequalities as a determinant or health outcome. A total of 53 studies were selected to thematically summarize the existing literature, using a critical interpretive synthesis method, where the subjectivity of the researcher is intimately involved in providing new insights with explanatory power. The evidence provided by the literature can be summarized under four key themes: (a) There might be a vicious cycle between hearing loss and socioeconomic inequalities and lifestyle factors, (b) socioeconomic position may interact with less healthy lifestyles, which are harmful to hearing ability, (c) increasing health literacy could improve the diagnosis and prognosis of hearing loss and prevent the adverse consequences of hearing loss on people’s health, and (d) people with hearing loss might be vulnerable to receiving low-quality and less safe health care. This study uses elements from theoretical models of health inequalities to formulate a highly interpretive conceptual model for examining hearing health inequalities. This model depicts the specific mechanisms of hearing health and their evolution over time. There are many modifiable determinants of hearing loss, in several stages across an individual’s life span; tackling socioeconomic inequalities throughout the life-course could improve the population’s health, maximizing the opportunity for healthy aging.

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Section: Resultsmentioning

confidence: 99%

Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis

et al. 2021

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“…Ce moindre recours ne pouvait s'expliquer par un manque d'alimentation de ces données dans le SNDS car ces soins ne sont pas inclus dans la dotation globale. De plus, des résultats similaires avaient déjà été constatés en 2008, dans l'enquête HSM (soins dentaires et gynécologiques) [4].…”

Section: Discussionunclassified

“…Les personnes en situation de handicap se heurtent à des difficultés d'accès aux soins [3], pour tous les soins considérés et quel que soit le pays étudié -en France [4][5][6] comme dans d'autres pays [7][8][9][10][11][12]. Les principales barrières d'accès aux soins identifiées sont les difficultés financières et de transports, les problèmes liés à l'accès aux établissements et cabinets médicaux [10,13,12,14,15,3].…”

Section: Introductionunclassified

“…Les principales barrières d'accès aux soins identifiées sont les difficultés financières et de transports, les problèmes liés à l'accès aux établissements et cabinets médicaux [10,13,12,14,15,3]. Plus spécifiquement, selon l'enquête française Handicap-Santé-Ménage (HSM) de 2008 [16], les bénéficiaires de l' AAH avaient des recours aux soins dentaires et gynécologiques moins fréquents que la population générale, mais aussi par rapport aux titulaires d'autres reconnaissances administratives liées à l'incapacité de travailler (pensions d'invalidité, rentes d'incapacité), ce qui suggère des difficultés spécifiques d'accès aux soins dans cette population [4]. Ce sousrecours pourrait être en partie expliqué par le fait que bénéficier de l' AAH ne permet pas une prise en charge à 100 % des dépenses de santé par l'assurance maladie obligatoire, contrairement à la pension d'invalidité ou la rente d'incapacité [6].…”

Section: Introductionunclassified

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Allocation aux adultes handicapés : pathologies et recours aux soins des bénéficiaires en 2017

Verboux¹,

Thomas²,

Colinot³

et al. 2022

Santé Publique

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réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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“…Similarly, Gulliford [15] notes that financial and physical accessibility, as well as acceptability of care influence the use of health care services, even in cities with abundant supply. Pichetti [16] further suggests that limited health utilization among PWD is attributable to their disadvantaged social situation. According to Handicap International [1], majority of Senegalese PWD live in poverty and are unable to meet their health care needs.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the impact of healthcare support initiatives for physically disabled people on their access to care in the city of Saint-Louis, Senegal

Senghor

Diop

Sombié

2017

BMC Health Serv Res

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BackgroundPeople with disabilities represent approximately 6% of the Senegalese population. They face significant barriers to accessing health care. Although several initiatives have been implemented to improve access to health care for this vulnerable population, few studies have examined the effects of these initiatives. We conducted a mixed methods study in three neighborhoods in Saint-Louis City (Senegal) to assess the impact of health systems and social assistance programs aimed at improving access to health care for people with disabilities.MethodsData were collected from 105 people living with disabilities aged 1–49 years (or their caregivers). Interviews were also conducted with key stakeholders in the health and welfare sectors. Global Positioning System (GPS) coordinates of all the health and social services within the city were obtained. We also conducted observations in the main regional hospital, the district health center and three level-one health facilities to assess physical accessibility as well as interactions between patients living with disabilities and health and social workers. Descriptive and multivariate analyses were performed using Sphinx software. Spatial data were used to make cartographic representations of the proximity to basic social services using Arc GIS software.ResultsSeventy-nine percent of survey respondents reported difficulty obtaining treatment. Key barriers to care included the high cost of care, as well as ill-treatment by health workers. Limited human resources and low levels of financial support, combined with logistical challenges were reported to hamper the success of social welfare initiatives that aim to facilitate access to health care for people with disabilities.ConclusionOur results suggest that initiatives to increase access to health care among people with disability in Saint-Louis have had limited impact. Study findings underscore the importance of strengthening social assistance schemes within the health system and the need for social workers and health workers to collaborate to improve access to health care for people with disabilities.

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Accès aux soins et à la prévention des personnes en situation de handicap en France : une exploitation de l’enquête Handicap-Santé-Ménages

Cited by 11 publications

References 21 publications

Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis

Conceptual Model of Hearing Health Inequalities (HHI Model): A Critical Interpretive Synthesis

Allocation aux adultes handicapés : pathologies et recours aux soins des bénéficiaires en 2017

Analysis of the impact of healthcare support initiatives for physically disabled people on their access to care in the city of Saint-Louis, Senegal

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