Barriers to the access of people with disabilities to health services: a scoping review

Authors

  • Karina Aparecida Padilha Clemente Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho. São Paulo, SP, Brasil. https://orcid.org/0000-0002-0985-9626
  • Simone Vieira da Silva Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho. São Paulo, SP, Brasil. https://orcid.org/0000-0002-7430-5208
  • Gislene Inoue Vieira Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho. São Paulo, SP, Brasil. https://orcid.org/0000-0002-6536-9218
  • Maritsa Carla de Bortoli Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. Departamento de Ciência e Tecnologia. São Paulo, SP, Brasil https://orcid.org/0000-0001-8236-7233
  • Tereza Setsuko Toma Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. Departamento de Ciência e Tecnologia. São Paulo, SP, Brasil https://orcid.org/0000-0001-9531-9951
  • Vinícius Delgado Ramos Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Instituto de Medicina Física e Reabilitação. São Paulo, SP, Brasil https://orcid.org/0000-0002-4566-6637
  • Christina May Moran de Brito Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Instituto do Câncer do Estado de São Paulo. São Paulo, SP, Brasil. https://orcid.org/0000-0003-3775-6533

DOI:

https://doi.org/10.11606/s1518-8787.2022056003893

Keywords:

Disabled Persons, Barriers to Access of Health Services, Communication Barriers, Physician-Patient Relations, Health Services for Persons with Disabilities, Review

Abstract

OBJECTIVE To analyze the scientific evidence regarding barriers to the access of people with disabilities to health services. METHODS A scoping review was carried out from the main question: “What are the main barriers that people with disabilities face in accessing health services?” The articles were surveyed in July 2019 in six scientific literature databases. Of the 1,155 documents identified in the searches, after selection by title and abstract, 170 publications were read in full and, thus, 96 articles were included and categorized according to the theoretical framework. RESULTS The main barriers indicated by the users of the service were: communication failure between professionals and patient/caregiver; financial limitations; attitudinal/behavioral issues; scarce service provision; organizational and transport barriers. The main barriers presented by service providers were: lack of training to professionals; failure of the health system; physical barriers; lack of resources/technology; and language barriers. CONCLUSIONS It was evident that people with disabilities face several barriers when trying to access the health services they need and that users and health professionals have distinct and complementary views on difficulties.

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Published

2022-07-01

Issue

Section

Review

How to Cite

Clemente, K. A. P., Silva, S. V. da, Vieira, G. I., Bortoli, M. C. de, Toma, T. S., Ramos, V. D. ., & Brito, C. M. M. de. (2022). Barriers to the access of people with disabilities to health services: a scoping review. Revista De Saúde Pública, 56, 64. https://doi.org/10.11606/s1518-8787.2022056003893