Access to general health care among people with disabilities in Latin America and the Caribbean: a systematic review of quantitative research
The Lancet Regional Health - Americas,
Год журнала:
2024,
Номер
32, С. 100701 - 100701
Опубликована: Март 8, 2024
In
Latin
America
and
the
Caribbean
(LAC),
there
are
85
million
people
with
disabilities
(PwD).They
often
experience
barriers
accessing
healthcare
die,
on
average,
10-20
years
earlier
than
those
without
disabilities.This
study
aimed
to
systematically
review
quantitative
literature
access
general
among
PwD,
compared
disabilities,
in
LAC.A
systematic
narrative
synthesis
was
conducted.We
searched
EMBASE,
MEDLINE,
LILACS,
MedCarib,
PsycINFO,
SciELO,
CINAHL,
Web
of
Science.Eligible
articles
were
peerreviewed,
published
between
January
2000
April
2023,
(utilization,
coverage,
quality,
affordability)
PwD
LAC.The
search
retrieved
16,538
records
30
studies
included,
most
which
had
a
medium
or
high
risk
bias
(n
=
23;
76%).Overall,
indicated
that
use
services
more
disabilities.Some
evidence
women
less
likely
have
received
cancer
screening.Limited
showed
health
affordability
quality
lower
PwD.In
LAC,
appear
inequities,
although
large
gaps
exist
current
evidence.Harmonization
disability
data
collection
is
urgently
needed
address
this
issue.
Язык: Английский
Disparity in access for people with disabilities to outpatient dental care services: a retrospective cohort study
BMC Oral Health,
Год журнала:
2023,
Номер
23(1)
Опубликована: Апрель 14, 2023
Abstract
Background
People
with
disabilities
face
difficulties
in
oral
health
management
and
gaining
access
to
dental
care.
The
availability
of
a
regular
source
care
(RSDC)
is
an
important
factor
that
influences
the
services
management.
purpose
this
study
was
determine
effect
RSDC
on
number
annual
visits
expenses
per
visit
among
people
disabilities.
Methods
Data
7,896,251
patients
problems
South
Korea
were
analyzed
using
2002–2018
National
Health
Insurance
claims
data.
A
generalized
estimating
equation
applied
analyze
repeated-measurement
data,
interaction
between
disability
severity
evaluated.
Results
higher
(2.62)
than
those
without
(2.23)
Despite
their
increased
needs,
both
low
older
individuals
(
p
<
0.001).
proportion
frequency
lower
women
men
had
differential
effects
disability.
Compared
disabilities,
=
0.067)
0.05)
severe
but
not
significant
mild
0.698).
Conclusions
Our
results
suggest
need
for
special
system
ensure
RSDC,
particularly
Язык: Английский
Access to General Health Care Among People with Disabilities in Latin America and the Caribbean: A Systematic Review of Quantitative Research
Опубликована: Янв. 1, 2023
Background:
Worldwide,
there
are
1.3
billion
people
with
disabilities,
including
85
million
in
Latin
America
and
the
Caribbean
(LAC).
People
disabilities
often
face
health
inequities
due
to
system
individual-level
barriers
die,
on
average,
10-20
years
earlier
than
those
without
disabilities.
This
study
aimed
systematically
review
quantitative
literature
access
general
care
among
persons
compared
LAC.
Methods:
A
systematic
narrative
synthesis
was
conducted
following
PRISMA
guidelines.
We
searched
EMBASE,
MEDLINE,
LILACS,
MedCarib,
PsycINFO,
SciELO,
CINAHL,
Web
of
Science
using
a
comprehensive
search
strategy
English,
Spanish
Portuguese.
Eligible
articles
were
peer-reviewed,
published
between
January
2000
March
2023
healthcare
(utilization,
coverage,
quality,
affordability)
Two
reviewers
independently
screened
studies,
extracted
data
assessed
risk
bias.
pre-registered
PROSPERO
[CRD42021235797].Findings:
The
retrieved
16
538
records
30
studies
included,
most
which
had
medium
bias
(53%).
Most
cross-sectional
design
(80%)
Brazil
(63%).
Disability
type
included
frequently
self-reported
disability
(26%)
or
functioning
limitations
(26%).
Overall,
indicated
that
use
services
more
There
some
evidence
women
less
likely
have
received
cancer
screening.
Limited
showed
affordability
quality
lower
Interpretation:
appear
experience
LAC,
although
large
gaps
exist
current
(e.g.,
affordability).
Further
harmonization
collection
is
urgently
needed
generate
equity
relation
LAC.Funding:
supported
by
Agencia
Nacional
de
Investigación
y
Desarrollo
(ANID);
Beca
Doctorado
en
el
Extranjero
Becas
Chile
(Grant
72210471).
Hannah
Kuper
an
NIHR
Global
Research
Professorship
(301621);
Lena
Morgon
Banks
PENDA
grant
from
FCDO
Arts
Humanities
Council
(grant
102866EH);
Sara
Rotenberg
Rhodes
Scholarship
(Rhodes
Trust).Declaration
Interest:
declare
no
competing
interests.
Язык: Английский
Oral health care for people with disabilities in Brazil: Transition from the specialized dental services between 2014 and 2018
Community Dentistry And Oral Epidemiology,
Год журнала:
2021,
Номер
50(1), С. 48 - 57
Опубликована: Дек. 30, 2021
To
identify
changes
in
the
dental
service
provision
to
people
with
disabilities
(PD)
Dental
Specialties
Centers
(acronym
CEO
Portuguese-Centro
de
Especialidades
Odontológicas)
between
first
and
second
cycles
of
Program
for
Improvement
Access
Quality
analyse
factors
associated
any
changes.This
nationwide
ecological
time
series
study
adopted
as
analysis
unit.
The
827
who
participated
two
program's
(2014
2018)
were
included.
Data
on
structure
work
process
considered
features
providing
services
PD
both
cycles.
Latent
transition
(LTA)
was
performed
latent
status
(LS)
similar
model
LS
over
time.
Models
five
variables
tested,
best
conceptual
interpretability
fit
parameters:
human
resources
(dentist
working
exclusively
PD)
that
identified
guarantee
treatment
at
CEO,
CEO's
interface
primary
care,
tertiary
care.
Spatial
spatial
patterns
Brazilian
territory
choropleth
maps.
A
multinomial
logistic
regression
(improved,
remained
or
worsened).The
best-fit
four
LS:
'Better',
'Medium
better',
worse'
'Worse'.
'Better'
(94%),
'Medium'
(5.3%)
'Worse'
(78.4%).
It
is
noteworthy
highest
proportion
cycles,
featured
by
characterized
all
guaranteeing
users
PD,
high
proportions
professionals
most
articulated
care
However,
there
a
decrease
number
postgraduate
specializing
this
profile
(1.3%).
higher
population
growth,
greater
likelihood
achieving
'improved'
LS.
Moreover,
goals,
lower
getting
'worse'
LS.Advances
observed,
more
significant
transitions
class,
improvements
mainly
Disability
will
be
an
even
concern
ages.
Initiatives
can
remove
barriers
empower
are
potent
oral
health
services.
Язык: Английский
Inequalities in the use of dental services by people with and without disabilities in Brazil: a National Health Survey
Clinical Oral Investigations,
Год журнала:
2024,
Номер
28(10)
Опубликована: Сен. 21, 2024
Язык: Английский
Top tips for the dental team: people with learning disabilities and autism
BDJ,
Год журнала:
2023,
Номер
234(9), С. 640 - 641
Опубликована: Май 12, 2023
Язык: Английский
Percepção dos cuidadores de pacientes com deficiência sobre o tratamento odontológico sob anestesia geral
Revista Brasileira de Pesquisa em Saúde/Brazilian Journal of Health Research,
Год журнала:
2023,
Номер
25(1), С. 10 - 18
Опубликована: Сен. 14, 2023
Introdução:
A
necessidade
de
tratamentos
odontológicos
acumulados
somados
à
falta
cooperaçãodo
paciente
são
as
principais
razões
que
levam
a
pessoa
com
deficiência
necessitar
atendimentoodontológico
sob
anestesia
geral.
Objetivos:
Conhecer
percepção
dos
cuidadores
pacientes
comdeficiência
acerca
da
do
tratamento
odontológico
Métodos:
Estudocom
abordagem
qualitativa.
Coletaram-se
os
dados
entre
abril
e
julho
2017
por
meio
entrevistassemiestruturadas.
Resultados:
Participaram
12
nove
deficiência,
comfaixa
etária
25
73
anos
renda
média
2,5
salários-mínimos.
O
procedimento
odontológicoé
percebido
como
solução
problemas
para
o
quanto
ao
âmbito
funcional
(mastigação
ealimentação),
estética
(questão
relativa
inserção
social)
alívio
dador
física.
Além
disso,
também
é
problemaspara
famílias,
pois
necessidades
refletem
diretamente
na
vida
cuidador
dosdemais
membros
família,
se
ocupam
cuidado
preocupam
em
resolver
problemasodontológicos
prejudicam
paciente,
interferindo
rotina
familiar.
Conclusão:
Os
cuidadorespercebem
geral
uma
deordem
funcional,
dor
física
deficiência.
Ademais,
comouma
esta
preocupa
bem-estar
ecompreende
cuidados
obrigação
um
impacto
direto
dinâmica