Department of Community Medicine, Ramaiah Medical College, Bengaluru 560 054, Karnataka, India.
Ramaiah Public Policy Center, School of Social Sciences, Ramaiah University of Applied Sciences, Bengaluru 560 054, Karnataka, India.
Int J Environ Res Public Health. 2022 Aug 14;19(16):10018. doi: 10.3390/ijerph191610018.
This paper presents an ontological review of the global research on access to geriatric disability care and a roadmap for future research to address the problem in India. First, the dominant research focus is on resources (human, financial, and spatial) that affect access to disability care; there is little focus on informational and technological resources. Second, functional disabilities are the dominant focus of the research, followed by cognitive, mental, and locomotor disabilities; there is little focus on speech, hearing, and visual disabilities. Third, barriers, inhibitors, and catalysts of physical access are the dominant focus, with relatively less focus on virtual access; there is very little emphasis on the drivers to access. Fourth, the primary, although not dominant, focus is on access for urban and rural populations; there is very little focus on access for underserved and indigenous populations. Future research must address these gaps systematically to improve access. This paper adds: (a) a systemic framework for the study of an important, complex, emerging problem; (b) a systematic review of the global research on the problem; and (c) a research roadmap to address the emerging problem in India.
本文对全球老年残疾护理准入问题的研究进行了本体论回顾,并为未来解决印度这一问题的研究制定了路线图。首先,占主导地位的研究重点是影响残疾护理准入的资源(人力、财力和空间资源),而对信息和技术资源的关注较少。其次,研究的主要焦点是功能性残疾,其次是认知、精神和运动残疾;对言语、听力和视力残疾的关注较少。第三,物理接入的障碍、抑制剂和催化剂是主要关注点,相对较少关注虚拟接入;对访问的驱动力关注甚少。第四,虽然不是主要的,但主要关注点是城市和农村人口的准入;对服务不足和土著人口的准入关注甚少。未来的研究必须系统地解决这些差距,以改善准入。本文增加了:(a)研究一个重要、复杂、新兴问题的系统框架;(b)对全球该问题研究的系统回顾;(c)解决印度新出现问题的研究路线图。