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

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...

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Detalles Bibliográficos
Autores principales: Bright, Tess, Kuper, Hannah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164773/
https://www.ncbi.nlm.nih.gov/pubmed/30200250
http://dx.doi.org/10.3390/ijerph15091879
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author Bright, Tess
Kuper, Hannah
author_facet Bright, Tess
Kuper, Hannah
author_sort Bright, Tess
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description 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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spelling pubmed-61647732018-10-12 A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries Bright, Tess Kuper, Hannah Int J Environ Res Public Health Review 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. MDPI 2018-08-30 2018-09 /pmc/articles/PMC6164773/ /pubmed/30200250 http://dx.doi.org/10.3390/ijerph15091879 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bright, Tess
Kuper, Hannah
A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title_full A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title_fullStr A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title_full_unstemmed A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title_short A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries
title_sort systematic review of access to general healthcare services for people with disabilities in low and middle income countries
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164773/
https://www.ncbi.nlm.nih.gov/pubmed/30200250
http://dx.doi.org/10.3390/ijerph15091879
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