Accessibility in People with Disabilities in Primary Healthcare Centers

A Dimension of the Quality of Care

Bibliographic Data

ID15510576
AuthorsMaggie Campillay-Campillay (0000-0002-4054-1595, University of Atacama), Ana Calle Carrasco (0000-0002-8099-1486, University of Atacama), Pablo Dubó-Araya (0000-0001-6918-3659, University of Atacama, corresponding author), Jorge Moraga-Rodríguez (0000-0002-9568-0891, University of Atacama), Juan Coss-Mandiola (0000-0002-9512-350X, Universidad de Santiago de Chile), Jairo Vanegas López (0000-0001-5281-483X, Universidad de Santiago de Chile), Alejandra Rojas (0000-0002-4123-4263, Universidad de Santiago de Chile), Raúl Carrasco (0000-0002-5023-9349, University of the Americas, corresponding author)
Year2022
Volume19
Issue19
Pages12439-12439
Publication date2022-09-29
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph191912439
PMID36231740
OpenAlexW4297977819
LanguageEN
Citations received3
References cited19

The purpose of this research is to evaluate universal accessibility in primary healthcare (PHC) centers in the Atacama region, Chile, through an analytical cross-sectional study with a quality approach, which uses the external audit model with the application of a dichotomous comparison guideline, evaluating levels of compliance with four dimensions of universal accessibility described in the literature: participation, information, accessibility chain and architectural aspects. This was carried out in 18 PHC, and set as Lower Control Limit (LCL) of 70% to compare levels of compliance, and a hierarchical model and k-mean analysis were applied. Results: Very low compliance averages were obtained, 37.7% participation, 4% information, 44.4% access chain, and 63.9% architectural aspects, indicating a critical situation. Moreover, the cluster comparison allowed to observe that a group of healthcare centers complies more than other groups, which requires more attention. Conclusions: The low level of accessibility for people with disabilities may be associated with various factors that require further monitoring and analysis. However, low levels of accessibility require changing the way of relating to this vulnerable group of the population, and considering including them in the design and reasonable adjustments made in PHC centers. The findings from this research open the possibility for future research that increases understanding of how to reduce barriers in a such wide variety of forms of disability

Audit · Business · Compliance (psychology · Control (management · Dimension (graph theory · Environmental health · Guideline · Health care · Political science · Population · Quality (philosophy · Variety (cybernetics · Aging, Health, and Disability · Chronic Disease Management Strategies · Computer Science · Mathematics · Medicine · Psychology · Public Health and Environmental Issues · Accounting

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