IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i19p12439-d929459.html
   My bibliography  Save this article

Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care

Author

Listed:
  • Maggie Campillay-Campillay

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Ana Calle-Carrasco

    (Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Pablo Dubo

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Jorge Moraga-Rodríguez

    (Programa de Magíster en Metodología de Investigación Cualitativa para la Salud, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Juan Coss-Mandiola

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Jairo Vanegas-López

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Alejandra Rojas

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Raúl Carrasco

    (Facultad de Ingeniería y Negocios, Univerdidad de Las Américas, Santiago 3981000, Chile)

Abstract

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.

Suggested Citation

  • Maggie Campillay-Campillay & Ana Calle-Carrasco & Pablo Dubo & Jorge Moraga-Rodríguez & Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco, 2022. "Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12439-:d:929459
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/19/12439/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/19/12439/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nora Groce & Maria Kett & Raymond Lang & Jean-Francois Trani, 2011. "Disability and Poverty: the need for a more nuanced understanding of implications for development policy and practice," Third World Quarterly, Taylor & Francis Journals, vol. 32(8), pages 1493-1513.
    2. Ximena Alvial & Alejandra Rojas & Raúl Carrasco & Claudia Durán & Christian Fernández-Campusano, 2021. "Overuse of Health Care in the Emergency Services in Chile," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    3. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco & Pablo Dubo & Maggie Campillay-Campillay, 2022. "Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile," IJERPH, MDPI, vol. 19(15), pages 1-13, July.
    4. Amritpal Kaur Khakh & Victoria Fast & Rizwan Shahid, 2019. "Spatial Accessibility to Primary Healthcare Services by Multimodal Means of Travel: Synthesis and Case Study in the City of Calgary," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    5. Rosemary B. Hughes & Susan Robinson-Whelen & Carly Knudson, 2022. "Cancer Disparities Experienced by People with Disabilities," IJERPH, MDPI, vol. 19(15), pages 1-9, July.
    6. Mitra, Sophie & Posarac, Aleksandra & Vick, Brandon, 2013. "Disability and Poverty in Developing Countries: A Multidimensional Study," World Development, Elsevier, vol. 41(C), pages 1-18.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Pablo Dubó & Maggie Campillay-Campillay & Raúl Carrasco, 2023. "Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers," IJERPH, MDPI, vol. 20(3), pages 1-16, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hugo O. Garcés & Claudia Durán & Eduardo Espinosa & Alejandro Jerez & Fredi Palominos & Marcela Hinojosa & Raúl Carrasco, 2022. "Monitoring of Thermal Comfort and Air Quality for Sustainable Energy Management inside Hospitals Based on Online Analytical Processing and the Internet of Things," IJERPH, MDPI, vol. 19(19), pages 1-23, September.
    2. Raymond Lang & Marguerite Schneider & Maria Kett & Ellie Cole & Nora Groce, 2019. "Policy development: An analysis of disability inclusion in a selection of African Union policies," Development Policy Review, Overseas Development Institute, vol. 37(2), pages 155-175, March.
    3. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Pablo Dubó & Maggie Campillay-Campillay & Raúl Carrasco, 2023. "Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    4. Mythily Subramaniam & Yen Sin Koh & P. V. AshaRani & Fiona Devi & Saleha Shafie & Peizhi Wang & Edimansyah Abdin & Janhavi Ajit Vaingankar & Chee Fang Sum & Eng Sing Lee & Siow Ann Chong, 2021. "The Prevalence and Correlates of Disability in Singapore: Results from a Nationwide Cross-Sectional Survey," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    5. Ute Rink & Theresa Rollwage, 2022. "Household disability and time preferences: Evidence from incentivized experiments in Vietnam," TVSEP Working Papers wp-027, Leibniz Universitaet Hannover, Institute for Environmental Economics and World Trade, Project TVSEP.
    6. Kim Samuel & Sabina Alkire & Diego Zavaleta & China Mills & John Hammock, 2018. "Social isolation and its relationship to multidimensional poverty," Oxford Development Studies, Taylor & Francis Journals, vol. 46(1), pages 83-97, January.
    7. Derek Asuman & Charles Godfred Ackah & Frank Agyire-Tettey, 2021. "Disability and Household Welfare in Ghana: Costs and Correlates," Journal of Family and Economic Issues, Springer, vol. 42(4), pages 633-649, December.
    8. Jean-Francois Trani & Kyle A. Pitzer & Juanita Vasquez Escallon & Parul Bakhshi, 2022. "Access to Services from Persons with Disabilities in Afghanistan: Is Community Based Rehabilitation Making a Difference?," IJERPH, MDPI, vol. 19(10), pages 1-26, May.
    9. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    10. Takasaki, Yoshito, 2020. "Impacts of disability on poverty: Quasi-experimental evidence from landmine amputees in Cambodia," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 85-107.
    11. Mauro, Vincenzo & Biggeri, Mario & Grilli, Leonardo, 2015. "Does Community-Based Rehabilitation Enhance the Multidimensional Well-Being of Deprived Persons With Disabilities? A Multilevel Impact Evaluation," World Development, Elsevier, vol. 76(C), pages 190-202.
    12. Daniel Mont & Cuong Nguyen, 2018. "Spatial Variation in the Poverty Gap Between People With and Without Disabilities: Evidence from Vietnam," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(2), pages 745-763, June.
    13. Igei, Kengo, 2017. "Untangling Disability and Poverty: A Matching Approach Using Large-scale Data in South Africa," Working Papers 142, JICA Research Institute.
    14. Yoshito Takasaki, 2019. "Disability and Poverty: Landmine Amputees in Cambodia," CIRJE F-Series CIRJE-F-1118, CIRJE, Faculty of Economics, University of Tokyo.
    15. Pierre DeBeaudrap & Charles Mouté & Estelle Pasquier & Muriel Mac-Seing & Pulchérie U. Mukangwije & Gervais Beninguisse, 2019. "Disability and Access to Sexual and Reproductive Health Services in Cameroon: A Mediation Analysis of the Role of Socioeconomic Factors," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    16. Michael Palmer & Nora Groce & Daniel Mont & Oanh Hong Nguyen & Sophie Mitra, 2015. "The Economic Lives of People with Disabilities in Vietnam," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-16, July.
    17. Precious Nonye Sango & Roy Deveau, 2022. "A Scoping Review of Empirical Literature on People with Intellectual Disability in Nigeria," Disabilities, MDPI, vol. 2(3), pages 1-14, August.
    18. Owasim Akram & Mathilde Maîtrot, 2023. "Family's roles as a welfare pillar: The case of older persons living in extreme poverty in Bangladesh," Development Policy Review, Overseas Development Institute, vol. 41(3), May.
    19. Hannah Kuper & Tracey Smythe & Antony Duttine, 2018. "Reflections on Health Promotion and Disability in Low and Middle-Income Countries: Case Study of Parent-Support Programmes for Children with Congenital Zika Syndrome," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
    20. Jean-François Trani & Ganesh Muneshwar Babulal & Parul Bakhshi, 2015. "Development and Validation of the 34-Item Disability Screening Questionnaire (DSQ-34) for Use in Low and Middle Income Countries Epidemiological and Development Surveys," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12439-:d:929459. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.