Aggarwal Sumit, Tabassum Heena, Agarwal Pragati, Grover Ashoo, Singh Ravinder
Department of Descriptive Research, Indian Council of Medical Research, Ansari Nagar, New Delhi, India.
Non-Communicable Diseases, Indian Council of Medical Research, Ansari Nagar, New Delhi, India.
Indian J Community Med. 2024 Jul-Aug;49(4):579-587. doi: 10.4103/ijcm.ijcm_49_24. Epub 2024 Jul 9.
People with disabilities often experience worse health outcomes than ordinary people because of multiple barriers to accessing healthcare. These inequalities are particularly exposed during the pandemic, indicating an urgent need to strengthen health systems, so that they are inclusive and responsive to the needs of these people during crises. These people are particularly affected by changes in routine services because of diversion of healthcare staff and facilities to respond to the pandemic, e.g., rehabilitation and medications. The combination of these factors substantially imparts negative impacts on their functioning and well-being. Health services research can help address the challenges of maintaining continuity of care during crises as well as addressing systematic inequalities in the health sector that marginalize people with disabilities even during noncrisis times. Therefore, research is needed to understand the health service design and to identify strategies to maximize active participation from this population.
由于在获取医疗保健方面存在多重障碍，残疾人的健康状况往往比普通人更差。这些不平等现象在疫情期间尤为凸显，这表明迫切需要加强卫生系统，使其具有包容性，并在危机期间能够满足这些人的需求。由于医护人员和设施被调去应对疫情，常规服务发生变化，这些人受到的影响尤为严重，例如康复服务和药物供应。这些因素共同对他们的功能和福祉产生了重大负面影响。卫生服务研究有助于应对危机期间维持医疗连续性的挑战，以及解决卫生部门中即使在非危机时期也将残疾人边缘化的系统性不平等问题。因此，需要开展研究以了解卫生服务设计，并确定能使这一人群最大限度地积极参与的策略。
