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

Wongkongdech, Adisorn; Laohasiriwong, Wongsa

doi:10.3126/kumj.v12i3.13709

Cited by 7 publications

(12 citation statements)

References 8 publications

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“…Trani et al found no difference in satisfaction with public health facilities in Afghanistan for people aged >5 years with and without disabilities [ 14 ]. In Thailand, a study by Wongkongdech et al found that 66% of people with physical impairment of all ages ranked their accessibility to health services at a moderate level (i.e., neither high nor low), taking in to account adequacy of health personnel, respect for rights and dignity, transport, service related aspects, personal factors and costs [ 62 ]. Finally, Badu et al found that 71% of people faced discrimination from health care providers [ 61 ].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

Bright

Kuper

2018

IJERPH

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Background: A systematic review was undertaken to explore access to general healthcare services for people with disabilities in low and middle-income countries (LMICs). Methods: Six electronic databases were searched in February 2017. Studies comparing access to general healthcare services by people with disabilities to those without disabilities from LMICs were included. Eligible measures of healthcare access included: utilisation, coverage, adherence, expenditure, and quality. Studies measuring disability using self-reported or clinical assessments were eligible. Title, abstract and full-text screening and data extraction was undertaken by the two authors. Results: Searches returned 13,048 studies, of which 50 studies were eligible. Studies were predominantly conducted in sub-Saharan Africa (30%), Latin America (24%), and East Asia/Pacific (12%). 74% of studies used cross-sectional designs and the remaining used case-control designs. There was evidence that utilisation of healthcare services was higher for people with disabilities, and healthcare expenditure was higher. There were less consistent differences between people with and without disabilities in other access measures. However, the wide variation in type and measurement of disability, and access outcomes, made comparisons across studies difficult. Conclusions: Developing common metrics for measuring disability and healthcare access will improve the availability of high quality, comparable data, so that healthcare access for people with disabilities can be monitored and improved.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

Bright

Kuper

2018

IJERPH

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“…Of the 36 studies, 10 were conducted in high income countries, including Australia [37–40], United States [41–44] and Canada [45, 46]. The remaining 26 studies originated from LMICs primarily from Ethiopia [47–54], South Africa [55–59], India [60, 61], Nepal [62, 63], Malawi [64], Mexico [65], Namibia [66], Pakistan [67], Tanzania [68], Thailand [69, 70] and Vietnam [71]. One article reported studies from four different African countries—Malawi, Namibia, South Africa and Sudan [72].…”

Section: Resultsmentioning

confidence: 99%

“…While most of the qualitative studies adopted generic qualitative approaches, five employed specific qualitative traditions including phenomenology [46, 54], grounded theory [55], ethnography [65] and participatory action research [71]. The 4 quantitative articles were cross-sectional studies [44, 59, 69] and a population-based household survey [72]. Twelve of the studies were aimed at rural health care access for PWDs in general.…”

Section: Resultsmentioning

confidence: 99%

Factors affecting access to primary health care services for persons with disabilities in rural areas: a “best-fit” framework synthesis

Dassah

Aldersey

McColl

et al. 2018

glob health res policy

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BackgroundAccess to primary health care (PHC) is a fundamental human right and central in the performance of health care systems, however persons with disabilities (PWDs) generally experience greater barriers in accessing PHC than the general population. These problems are further exacerbated for those with disabilities in rural areas. Understanding PHC access for PWDs is particularly important as such knowledge can inform policies, clinical practice and future research in rural settings.MethodsWe conducted a synthesis of published literature to explore the factors affecting access to PHC for PWDs in rural areas globally. Using an adapted keyword search string we searched five databases (CINAHL, EMBASE, Global Health, Medline and Web of Science), key journals and the reference lists of included articles. We imported the articles into NVivo and conducted deductive (framework) analysis by charting the data into a rural PHC access framework. We subsequently conducted inductive (thematic) analysis.ResultsWe identified 36 studies that met our inclusion criteria. A majority (n = 26) of the studies were conducted in low-and middle-income countries. We found that PWDs were unable to access PHC due to obstacles including the interplay of four major factors; availability, acceptability, geography and affordability. In particular, limited availability of health care facilities and services and perceived low quality of care meant that those in need of health care services frequently had to travel for care. The barrier of geographic distance was worsened by transportation problems. We also observed that where health services were available most people could not afford the cost.ConclusionOur synthesis noted that modifying the access framework to incorporate relationships among the barriers might help better conceptualize PHC access challenges and opportunities in rural settings. We also made recommendations for policy development, practice consideration and future research that could lead to more equitable access to health care. Importantly, there is the need for health policies that aim address rural health problems to consider all the dimensions and their interactions. In terms of practice, the review also highlights the need to provide in-service training to health care providers on how to enhance their communication skills with PWDs. Future research should focus on exploring access in geographical contexts with different health care systems, the perspectives of health care providers and how PWDs respond to access problems in rural settings.Electronic supplementary materialThe online version of this article (10.1186/s41256-018-0091-x) contains supplementary material, which is available to authorized users.

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“…When compared to peers without CP, children and adolescents with CP from LMICs had significantly poorer HRQoL, although discordance may be understated. A limitation of the included studies is that the majority of participants were accessed through rehabilitation and health services and may overstate well‐being compared to those who lack service access, as is common in LMICs . Additionally, five of the 16 studies excluded children with intellectual disability and may be a source of bias in results, although it is unclear how intellectual disability in LMICs interacts with HRQoL.…”

Section: Discussionmentioning

confidence: 99%

Health‐related quality of life of children and adolescents with cerebral palsy in low‐ and middle‐income countries: a systematic review

Power

King

Muhit

et al. 2018

Develop Med Child Neuro

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Research to improve HRQoL in LMICs is required and should address all aspects of HRQoL. Future research is recommended to incorporate multi-respondent assessment, utilize both general and CP-specific measures of HRQoL, and delineate adolescents as a unique cohort. What this paper adds Children with cerebral palsy from low- and middle-income countries are at high risk of poor health-related quality of life (HRQoL). Physical well-being was poorest dimension of HRQoL and associated with impaired motor function.

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

Abstract: Background

Cited by 7 publications

References 8 publications

A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries

Factors affecting access to primary health care services for persons with disabilities in rural areas: a “best-fit” framework synthesis

Health‐related quality of life of children and adolescents with cerebral palsy in low‐ and middle‐income countries: a systematic review

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