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初级医疗保健中的身体可达性:迈向接纳的一步。

Physical accessibility in primary healthcare: a step towards the embracement.

作者信息

Marques Juliana Freitas, Áfio Aline Cruz Esmeraldo, Carvalho Luciana Vieira de, Leite Sarah de Sá, Almeida Paulo César de, Pagliuca Lorita Marlena Freitag

机构信息

Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil.

Universidade Estadual do Ceará (UFC), Centro de Ciências da Saúde, Departamento de Enfermagem. Fortaleza, Ceará, Brasil.

出版信息

Rev Gaucha Enferm. 2018 Jul 2;39:e20170009. doi: 10.1590/1983-1447.2018.2017-0009.

DOI:10.1590/1983-1447.2018.2017-0009
PMID:29995068
Abstract

OBJECTIVE

To assess the physical accessibility from the front desk of primary healthcare units.

METHOD

Descriptive and quantitative research to map the accessibility of the physical space in 157 health units, between August 2014 and May 2015, in the region of Baturité, Ceará, Brazil. The data were collected using a checklist instrument type, and absolute and relative frequencies, binomial and verisimilitude tests for statistical analysis, with statistical significance of p <0.05 were used.

RESULTS

Of the analyzed items, stairs (24.8%), ramps (47.1%) and floors (75.8%) were inaccessible in most health units. Comparing urban and rural areas, circulation area (0.7x, p=0.293), counter (0.4x, p=0.010), seat (0.7x, p=0.758) and drinking fountain (0.7x, p=0.736) were more inaccessible in the urban area.

CONCLUSION

The access of persons with physical disabilities to primary care should be seen as a priority. There are physical, architectural and furniture barriers that compromise the full embracement of the user.

摘要

目的

评估基层医疗单位前台的实际可达性。

方法

2014年8月至2015年5月期间,在巴西塞阿拉州巴图里泰地区对157个卫生单位的物理空间可达性进行描述性和定量研究。使用清单式工具收集数据,并采用绝对和相对频率、二项式和似然性检验进行统计分析,采用p<0.05的统计显著性水平。

结果

在所分析的项目中,大多数卫生单位的楼梯(24.8%)、坡道(47.1%)和地面(75.8%)不可达。比较城乡地区,流通区域(0.7倍,p=0.293)、柜台(0.4倍,p=0.010)、座位(0.7倍,p=0.758)和饮水机(0.7倍,p=0.736)在城市地区更不可达。

结论

应将残疾人获得初级保健视为优先事项。存在物理、建筑和家具方面的障碍,影响了用户的全面接纳。

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