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Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review

People with disabilities have greater need for healthcare on average, but often face barriers when accessing these services. The Brazilian government launched the National Health Policy for People with Disabilities (PNSPD) in 2002 to address this inequality. PNSPD has six areas of focus: quality of...

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Detalles Bibliográficos
Autores principales: da Cunha, Márcia Andrea Oliveira, Santos, Helena Fernandes, de Carvalho, Maria Eduarda Lima, Miranda, Gabriella Morais Duarte, de Albuquerque, Maria do Socorro Veloso, de Oliveira, Raquel Santos, de Albuquerque, Adrião Filho Cavalcanti, Penn-Kekana, Loveday, Kuper, Hannah, Lyra, Tereza Maciel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834994/
https://www.ncbi.nlm.nih.gov/pubmed/35162497
http://dx.doi.org/10.3390/ijerph19031472
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author da Cunha, Márcia Andrea Oliveira
Santos, Helena Fernandes
de Carvalho, Maria Eduarda Lima
Miranda, Gabriella Morais Duarte
de Albuquerque, Maria do Socorro Veloso
de Oliveira, Raquel Santos
de Albuquerque, Adrião Filho Cavalcanti
Penn-Kekana, Loveday
Kuper, Hannah
Lyra, Tereza Maciel
author_facet da Cunha, Márcia Andrea Oliveira
Santos, Helena Fernandes
de Carvalho, Maria Eduarda Lima
Miranda, Gabriella Morais Duarte
de Albuquerque, Maria do Socorro Veloso
de Oliveira, Raquel Santos
de Albuquerque, Adrião Filho Cavalcanti
Penn-Kekana, Loveday
Kuper, Hannah
Lyra, Tereza Maciel
author_sort da Cunha, Márcia Andrea Oliveira
collection PubMed
description People with disabilities have greater need for healthcare on average, but often face barriers when accessing these services. The Brazilian government launched the National Health Policy for People with Disabilities (PNSPD) in 2002 to address this inequality. PNSPD has six areas of focus: quality of life, impairment prevention, comprehensive health care, organization and functioning of health services, information mechanisms, and training of human resources. The aim of this article was to undertake a scoping review to assess the evidence on the experience of people with disabilities in Brazil with respect to the six themes of the PNSPD. The scoping review included articles published between 2002 and 2019, from four electronic databases: PUBMED/MEDLINE, LILACS, Science Direct, and Scielo. In total, 8076 articles were identified, and after review of titles, abstracts, and full texts by two independent reviewers, 98 were deemed eligible for inclusion. The evidence was relatively limited in availability and scope. However, it consistently showed large gaps in delivery of healthcare to people with disabilities across the six dimensions considered. There was lack of actions aimed at promoting quality of life; insufficient professional training about disability; little evidence on the health profile of people with disabilities; large gaps in the availability of care due to widespread physical, informational, and attitudinal barriers; and poor distribution of the supply and integration of services. In conclusion, the policy framework in Brazil is supportive of the inclusion of people with disabilities in health services; however, large inequalities remain due to poor implementation of the policy into practice.
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spelling pubmed-88349942022-02-12 Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review da Cunha, Márcia Andrea Oliveira Santos, Helena Fernandes de Carvalho, Maria Eduarda Lima Miranda, Gabriella Morais Duarte de Albuquerque, Maria do Socorro Veloso de Oliveira, Raquel Santos de Albuquerque, Adrião Filho Cavalcanti Penn-Kekana, Loveday Kuper, Hannah Lyra, Tereza Maciel Int J Environ Res Public Health Review People with disabilities have greater need for healthcare on average, but often face barriers when accessing these services. The Brazilian government launched the National Health Policy for People with Disabilities (PNSPD) in 2002 to address this inequality. PNSPD has six areas of focus: quality of life, impairment prevention, comprehensive health care, organization and functioning of health services, information mechanisms, and training of human resources. The aim of this article was to undertake a scoping review to assess the evidence on the experience of people with disabilities in Brazil with respect to the six themes of the PNSPD. The scoping review included articles published between 2002 and 2019, from four electronic databases: PUBMED/MEDLINE, LILACS, Science Direct, and Scielo. In total, 8076 articles were identified, and after review of titles, abstracts, and full texts by two independent reviewers, 98 were deemed eligible for inclusion. The evidence was relatively limited in availability and scope. However, it consistently showed large gaps in delivery of healthcare to people with disabilities across the six dimensions considered. There was lack of actions aimed at promoting quality of life; insufficient professional training about disability; little evidence on the health profile of people with disabilities; large gaps in the availability of care due to widespread physical, informational, and attitudinal barriers; and poor distribution of the supply and integration of services. In conclusion, the policy framework in Brazil is supportive of the inclusion of people with disabilities in health services; however, large inequalities remain due to poor implementation of the policy into practice. MDPI 2022-01-28 /pmc/articles/PMC8834994/ /pubmed/35162497 http://dx.doi.org/10.3390/ijerph19031472 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
da Cunha, Márcia Andrea Oliveira
Santos, Helena Fernandes
de Carvalho, Maria Eduarda Lima
Miranda, Gabriella Morais Duarte
de Albuquerque, Maria do Socorro Veloso
de Oliveira, Raquel Santos
de Albuquerque, Adrião Filho Cavalcanti
Penn-Kekana, Loveday
Kuper, Hannah
Lyra, Tereza Maciel
Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title_full Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title_fullStr Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title_full_unstemmed Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title_short Health Care for People with Disabilities in the Unified Health System in Brazil: A Scoping Review
title_sort health care for people with disabilities in the unified health system in brazil: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834994/
https://www.ncbi.nlm.nih.gov/pubmed/35162497
http://dx.doi.org/10.3390/ijerph19031472
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