Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho. São Paulo, SP, Brasil.
Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. Departamento de Ciência e Tecnologia. São Paulo, SP, Brasil.
Rev Saude Publica. 2022 Jul 1;56:64. doi: 10.11606/s1518-8787.2022056003893. eCollection 2022.
To analyze the scientific evidence regarding barriers to the access of people with disabilities to health services.
A scoping review was carried out from the main question: "What are the main barriers that people with disabilities face in accessing health services?" The articles were surveyed in July 2019 in six scientific literature databases. Of the 1,155 documents identified in the searches, after selection by title and abstract, 170 publications were read in full and, thus, 96 articles were included and categorized according to the theoretical framework.
The main barriers indicated by the users of the service were: communication failure between professionals and patient/caregiver; financial limitations; attitudinal/behavioral issues; scarce service provision; organizational and transport barriers. The main barriers presented by service providers were: lack of training to professionals; failure of the health system; physical barriers; lack of resources/technology; and language barriers.
It was evident that people with disabilities face several barriers when trying to access the health services they need and that users and health professionals have distinct and complementary views on difficulties.
分析残疾人获得医疗服务的障碍的科学依据。
通过主要问题进行了范围界定综述：“残疾人在获得卫生服务方面面临的主要障碍有哪些？” 2019 年 7 月在六个科学文献数据库中进行了调查。在搜索中识别出 1,155 篇文献后，经过标题和摘要筛选，有 170 篇文献进行了全文阅读，因此，有 96 篇文章被纳入并根据理论框架进行了分类。
服务使用者指出的主要障碍包括：专业人员与患者/照顾者之间的沟通失败；经济限制；态度/行为问题；服务提供不足；组织和交通障碍。服务提供者提出的主要障碍包括：专业人员缺乏培训；卫生系统失灵；物理障碍；资源/技术匮乏；语言障碍。
残疾人在试图获得所需的医疗服务时面临着多种障碍，而且使用者和卫生专业人员对困难有明显且互补的看法。
