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Access barriers to medical facilities for people with physical disabilities

The case of Peru

Bibliographic Data

ID5167175
AuthorsMiguel Moscoso‐porra (0000-0001-9518-4241, Universidad Peruana Cayetano Heredia, Peru; Asociación para el Desarrollo de Investigación Estudiantil en Ciencias de la Salud, Perú), Amy Katherine Fuhs (0000-0002-3465-7583, Indiana University School of Medicine), Angela Carbone (0000-0001-8129-8045, Rehabilitation Hospital of Indiana)
Year2019
Volume35
Issue12
Pagese00050417-e00050417
Publication date2019-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00050417
PMID31800781
OpenAlexW2991117810
SciELOS0102-311X2019001405001
LanguageEN
Citations received5
References cited30

People with disabilities (PWD) face several challenges accessing medical services. However, the extent to which architectural and transportation barriers impede access to healthcare is unknown. In Peru, despite laws requiring that buildings be accessible for PWD, no report confirms that medical facilities comply with such regulations. Thus, we aim to provide an association between these barriers and access to medical facilities. Data from a Peruvian disability survey were analyzed. Participants were 18 years of age and older people who reported having a physical disability. Accessibility was defined by reported struggles accessing medical facilities (health or rehabilitation centers). Absence of ramps, handrails, elevators, adapted bathrooms, and information counters in medical facilities were reported as architectural barriers. The transportation barriers analyzed included struggles using buses or trains. Poisson regression models with robust variance were used to estimate prevalence ratios (PR) and to control for confounding variables. 20,663 participants were included, their mean age was 66.5 years and 57.5% were females. Architectural and transportation barriers reported were 40% and 61%, respectively. All barriers reported were more prevalent in rural compared to urban areas (p 0.05). Architectural and transportation barriers represent a hindrance to seeking treatment at rehabilitation centers. Actions to improve this situation are needed

Access control · Business · Computer security · Environmental health · Physical access · Physical disability · Physical therapy · Poisson regression · Population · Chronic Disease Management Strategies · Computer Science · Elder Abuse and Neglect · Medicine · Rehabilitation · Urban Transport and Accessibility · Gerontology

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Citations per year1.25
Citation span2022 - 2025 (4)
Highly citedNo

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