Departamento de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.
Rev Saude Publica. 2011 Feb;45(1):99-105. doi: 10.1590/s0034-89102010005000048. Epub 2010 Oct 29.
To analyze the difficulties in accessibility to health services experienced by persons with disabilities.
A qualitative study was performed with individuals who reported having a certain type of disability (paralysis or amputation of limbs; low vision, unilateral or total blindness; low hearing, unilateral or total deafness). A total of 25 individuals (14 women) were interviewed in the city of São Paulo, Southeastern Brazil, between June and August 2007, responding to questions about transportation and accessibility to health services. Collective Subject Discourse was the methodology used to analyze results and analyses were performed with the Qualiquantisoft software.
The analysis of discourses on transportation to health services revealed a diversity in terms of the user going to the service alone or accompanied; using a private car, public transportation or ambulance or walking; and requiring different times to arrive at the service. With regard to the difficulties in accessibility to health services, there were reports of delayed service, problems with parking, and lack of ramps, elevators, wheelchairs, doctors and adapted toilets.
Individuals with a certain type of disability used various means of transportation, requiring someone to accompany them in some cases. Problems with accessibility to health services were reported by persons with disabilities, contradicting the principle of equity, a precept of the Brazilian Unified Health System.
分析残疾人在获得卫生服务方面所面临的困难。
这是一项定性研究，研究对象为报告有某种类型残疾的个人（四肢瘫痪或截肢；单侧或全盲；单侧或全聋）。2007 年 6 月至 8 月，在巴西东南部城市圣保罗对 25 名个人（14 名女性）进行了访谈，他们回答了有关交通和获得卫生服务的问题。采用集体主题话语方法分析结果，并使用 Qualiquantisoft 软件进行分析。
对交通服务的分析显示，用户独自或陪同前往服务，使用私家车、公共交通工具或救护车或步行，到达服务地点所需的时间也不同。关于获得卫生服务方面的困难，报告有服务延迟、停车问题、缺乏斜坡、电梯、轮椅、医生和无障碍厕所等问题。
具有某种类型残疾的个人使用各种交通工具，在某些情况下需要有人陪同。残疾人报告了获得卫生服务方面的困难，这与巴西统一卫生系统的公平原则相矛盾。
