障碍残疾人获得医疗保健的障碍:系统审查
M Chimienti1,2, G Morlino1,2, D Ndreca1
1Catholic University Our Lady of Good Counsel, Tirana, Albania.
Frontiers in public health
|March 9, 2026
概括
残疾人面临着严重的医疗保健接入障碍,包括财务,交通和通信问题. 解决这些问题需要系统性卫生系统重新设计,以实现真正的残疾包容和健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 对于残疾人来说,获得医疗保健是一个关键的全球健康公平问题.
- 系统性歧视和重大证据缺口阻碍了包容性医疗保健.
- 了解障碍对于提高医疗保健服务效率至关重要.
研究的目的:
- 确定全球关于障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍障碍
- 在残疾背景下分析医疗保健服务效率.
- 为政策制定和卫生系统重新设计提供信息,以包容残疾人.
主要方法:
- 从PubMed,Scopus和Web of Science的文献进行系统的审查.
- 严格的纳入和排除标准的应用.
- 严格的双盲选和分析了6570篇识别的文章,选择了86篇研究.
主要成果:
- 识别了许多障碍:物理,金融,交通,沟通,态度,组织,知识相关,感官,文化和系统.
- 发现不成比例的重点是障碍 (90%) 而不是干预 (10%) 以及利益相关方观点的代表性不足.
- 在高收入国家研究的地理集中.
结论:
- 金融,交通,通信和物理可访问性是主要障碍.
- 当前的可访问性解决方案往往依赖于个人住宿而不是通用设计.
- 系统性重新设计和将残疾放在健康公平努力中的中心是改善的必要条件.
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