School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
School of Health Sciences, Massey University, Palmerston North, New Zealand.
BMC Health Serv Res. 2023 Apr 6;23(1):346. doi: 10.1186/s12913-023-09336-4.
Disruptions to healthcare services during the COVID-19 pandemic are well-recognised problems. However, a dearth of research exists on disabled people's experiences with accessing these services. A scoping review was undertaken to identify and explore research on the experience of disabled people in accessing healthcare services between 2020 and 6 February 2023.
PubMed, Web of Science, CINAHL, and OVID were employed to search for research that included the voice of disabled people, or their parents or caregivers. Over two distinct phases, a total of 2,201 articles were reviewed according to article titles, keywords, and abstracts. Eighty-one studies were identified that met the inclusion criteria; these were reviewed in full.
Eighteen studies specifically described the experiences of accessing healthcare or disability services, and sixty-three raised healthcare challenges as a secondary consideration. Many disabled people struggled to access healthcare services and felt they were invisible; as a result, individuals' mental health was negatively affected. Disabled people with compounding vulnerabilities were at the most risk of experiencing a lack of healthcare access.
There is an urgent need for research and policy that is responsive to disabled people's access to healthcare during the pandemic; currently many health policies are 'disability-blind' and exclude these members of the global community. Furthermore, to assist in creating disability-responsive research, funding needs to prioritise researchers within the disabled community.
在 COVID-19 大流行期间，医疗服务的中断是众所周知的问题。然而，对于残疾人士在获取这些服务方面的经验，研究却很少。本研究进行了范围综述，以确定和探讨 2020 年至 2023 年 2 月 6 日期间残疾人士获取医疗保健服务的经验研究。
使用 PubMed、Web of Science、CINAHL 和 OVID 搜索包括残疾人士或其父母或照顾者声音的研究。在两个不同阶段，共根据文章标题、关键词和摘要对 2201 篇文章进行了审查。有 81 项研究符合纳入标准，对这些研究进行了全面审查。
有 18 项研究专门描述了获取医疗保健或残疾服务的经验，63 项研究则将医疗保健挑战作为次要考虑因素。许多残疾人士难以获得医疗保健服务，感到自己被忽视了；因此，他们的心理健康受到了负面影响。有复合脆弱性的残疾人士最有可能面临缺乏医疗保健机会的风险。
目前许多卫生政策对残疾人士在大流行期间获得医疗保健服务的问题“视而不见”，将他们排除在全球社区之外，因此迫切需要针对残疾人士在大流行期间获得医疗保健服务的研究和政策。此外，为了协助制定对残疾人士有回应的研究，需要优先考虑残疾社区内的研究人员提供资金。
