Cargando…

Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala

OBJECTIVE: To compare access to healthcare services for people with disabilities to those without disabilities, within a national case-control study in Guatemala. METHODS: We undertook a population-based case-control study, nested within a national survey in Guatemala. Cases with disabilities were p...

Descripción completa

Detalles Bibliográficos
Autores principales: Kuper, Hannah, Mactaggart, Islay, Dionicio, Carlos, Cañas, Rafael, Naber, Jonathan, Polack, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307777/
https://www.ncbi.nlm.nih.gov/pubmed/30589885
http://dx.doi.org/10.1371/journal.pone.0209774
_version_ 1783383066132086784
author Kuper, Hannah
Mactaggart, Islay
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
author_facet Kuper, Hannah
Mactaggart, Islay
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
author_sort Kuper, Hannah
collection PubMed
description OBJECTIVE: To compare access to healthcare services for people with disabilities to those without disabilities, within a national case-control study in Guatemala. METHODS: We undertook a population-based case-control study, nested within a national survey in Guatemala. Cases with disabilities were people with self-reported difficulties in functioning. One control without disabilities was selected per case, matched by age, gender and cluster. Information was collected on: health status, access to health services and rehabilitation, and socioeconomic status. RESULTS: The study included 707 people with disabilities, and 465 controls. People with disabilities were more likely to report a serious health problem (aOR 2.8, 2.2–3.7) or doctor-diagnosis of one of 17 general health conditions (aOR 2.9, 2.2–3.8) as compared to controls without disabilities. People with disabilities were twice as likely as controls to have received treatment for a diagnosed condition (aOR 2.2, 1.7–2.8). Coverage of treatment for impairment-related health conditions was low, as was awareness and access to rehabilitation services. People with disabilities were more likely than controls to report being disrespected (aOR 1.9, 1.0–3.7) or finding it difficult to understand information given (aOR 1.6, 1.1–1.4). CONCLUSION: Efforts are needed to raise awareness about rehabilitation services and improve quality of health services for people with disabilities in Guatemala, to ensure that their rights are fulfilled and to assist in the achievement of Universal Health Coverage. Better tools are needed to measure healthcare access, including consideration of geographic access, quality and affordability, to allow the generation of comparable data on access to healthcare among people with disabilities.
format Online
Article
Text
id pubmed-6307777
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-63077772019-01-08 Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala Kuper, Hannah Mactaggart, Islay Dionicio, Carlos Cañas, Rafael Naber, Jonathan Polack, Sarah PLoS One Research Article OBJECTIVE: To compare access to healthcare services for people with disabilities to those without disabilities, within a national case-control study in Guatemala. METHODS: We undertook a population-based case-control study, nested within a national survey in Guatemala. Cases with disabilities were people with self-reported difficulties in functioning. One control without disabilities was selected per case, matched by age, gender and cluster. Information was collected on: health status, access to health services and rehabilitation, and socioeconomic status. RESULTS: The study included 707 people with disabilities, and 465 controls. People with disabilities were more likely to report a serious health problem (aOR 2.8, 2.2–3.7) or doctor-diagnosis of one of 17 general health conditions (aOR 2.9, 2.2–3.8) as compared to controls without disabilities. People with disabilities were twice as likely as controls to have received treatment for a diagnosed condition (aOR 2.2, 1.7–2.8). Coverage of treatment for impairment-related health conditions was low, as was awareness and access to rehabilitation services. People with disabilities were more likely than controls to report being disrespected (aOR 1.9, 1.0–3.7) or finding it difficult to understand information given (aOR 1.6, 1.1–1.4). CONCLUSION: Efforts are needed to raise awareness about rehabilitation services and improve quality of health services for people with disabilities in Guatemala, to ensure that their rights are fulfilled and to assist in the achievement of Universal Health Coverage. Better tools are needed to measure healthcare access, including consideration of geographic access, quality and affordability, to allow the generation of comparable data on access to healthcare among people with disabilities. Public Library of Science 2018-12-27 /pmc/articles/PMC6307777/ /pubmed/30589885 http://dx.doi.org/10.1371/journal.pone.0209774 Text en © 2018 Kuper et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kuper, Hannah
Mactaggart, Islay
Dionicio, Carlos
Cañas, Rafael
Naber, Jonathan
Polack, Sarah
Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title_full Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title_fullStr Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title_full_unstemmed Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title_short Can we achieve universal health coverage without a focus on disability? Results from a national case-control study in Guatemala
title_sort can we achieve universal health coverage without a focus on disability? results from a national case-control study in guatemala
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307777/
https://www.ncbi.nlm.nih.gov/pubmed/30589885
http://dx.doi.org/10.1371/journal.pone.0209774
work_keys_str_mv AT kuperhannah canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala
AT mactaggartislay canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala
AT dioniciocarlos canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala
AT canasrafael canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala
AT naberjonathan canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala
AT polacksarah canweachieveuniversalhealthcoveragewithoutafocusondisabilityresultsfromanationalcasecontrolstudyinguatemala