119 lines
4 KiB
YAML
119 lines
4 KiB
YAML
|
abstract: 'Purpose Self-evaluated access and accessibility has been found to be
|
||
|
|
|
||
|
|
associated with healthcare seeking and quality of life. Studies have
|
||
|
|
|
||
|
|
shown that, however, a vast majority of individuals with disability
|
||
|
|
|
||
|
|
living in poor countries have limited access to healthcare influenced by
|
||
|
|
|
||
|
|
several barriers. The purpose of this paper is to compare the perception
|
||
|
|
|
||
|
|
of general accessibility of health care services and its association
|
||
|
|
|
||
|
|
with access barriers and other contextual factors between people with
|
||
|
|
|
||
|
|
physical disabilities and counterparts without disability.
|
||
|
|
|
||
|
|
Design/methodology/approach This study is a cross sectional survey
|
||
|
|
|
||
|
|
involving 213 individuals with physical disabilities and 213
|
||
|
|
|
||
|
|
counterparts without disability sampled using a multi-stage method. Data
|
||
|
|
|
||
|
|
were collected using a structured questionnaire with sections on
|
||
|
|
|
||
|
|
socioeconomic and living conditions, education, health, employment and
|
||
|
|
|
||
|
|
access to health care. Data analysis involved using chi(2) for
|
||
|
|
|
||
|
|
proportions and T-test and multiple regressions (stepwise) method to
|
||
|
|
|
||
|
|
determine significant factors that influence perception on
|
||
|
|
|
||
|
|
accessibility. Findings The study finds that people with disabilities
|
||
|
|
|
||
|
|
fared worse in various socioeconomic factors such as education,
|
||
|
|
|
||
|
|
employment, income and assets possession. People with disabilities also
|
||
|
|
|
||
|
|
experience more dimensional barriers and reported poor health system
|
||
|
|
|
||
|
|
accessibility. The difference in accessibility continued after adjusting
|
||
|
|
|
||
|
|
for other variables, implying that there are more inherent factors that
|
||
|
|
|
||
|
|
explain the perception of access for people with disabilities. Practical
|
||
|
|
|
||
|
|
implications - Governments should ensure equitable access to health care
|
||
|
|
|
||
|
|
delivery for people with disabilities through equitable health policies
|
||
|
|
|
||
|
|
and services that are responsive to the needs of people with
|
||
|
|
|
||
|
|
disabilities and promote the creation of enabling environment to enhance
|
||
|
|
|
||
|
|
participation in health care delivery. Originality/value The authors
|
||
|
|
|
||
|
|
confirm that the paper has neither been submitted to peer review, nor is
|
||
|
|
|
||
|
|
in the process of peer reviewing or accepted for publishing in another
|
||
|
|
|
||
|
|
journal. The author(s) confirms that the research in this work is
|
||
|
|
|
||
|
|
original, and that all the data given in the paper are real and
|
||
|
|
|
||
|
|
authentic. If necessary, the paper can be recalled, and errors
|
||
|
|
|
||
|
|
corrected. The undersigned authors transfer the copyright for this work
|
||
|
|
|
||
|
|
to the International Journal of Health Governance. The authors are free
|
||
|
|
|
||
|
|
of any personal or business association that could represent a conflict
|
||
|
|
|
||
|
|
of interest regarding the paper submitted, and the authors have
|
||
|
|
|
||
|
|
respected the research ethics principles.'
|
||
|
|
affiliation: 'Zandam, H (Corresponding Author), Univ Putra Malaysia, Dept Community
|
||
|
|
Hlth, Serdang, Malaysia.
|
||
|
|
|
||
|
|
Zandam, Hussain, Univ Putra Malaysia, Dept Community Hlth, Serdang, Malaysia.
|
||
|
|
|
||
|
|
Juni, Muhamad Hanafiah, Univ Putra Malaysia, Fac Med \& Hlth, Dept Community Hlth,
|
||
|
|
Hlth Serv Management Unit, Serdang, Malaysia.'
|
||
|
|
author: Zandam, Hussain and Juni, Muhamad Hanafiah
|
||
|
|
author-email: huzandam@gmail.com
|
||
|
|
author_list:
|
||
|
|
- family: Zandam
|
||
|
|
given: Hussain
|
||
|
|
- family: Juni
|
||
|
|
given: Muhamad Hanafiah
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1108/IJHG-11-2018-0067
|
||
|
|
files: []
|
||
|
|
issn: 2059-4631
|
||
|
|
journal: INTERNATIONAL JOURNAL OF HEALTH GOVERNANCE
|
||
|
|
keywords: 'Primary care; Patient perspectives; Emerging healthcare delivery
|
||
|
|
|
||
|
|
structures; Quantitative research; Health law or regulation; Public
|
||
|
|
|
||
|
|
health regulations'
|
||
|
|
keywords-plus: QUALITY-OF-LIFE; ACCESS; CARE; BARRIERS; SERVICES
|
||
|
|
language: English
|
||
|
|
month: NOV 21
|
||
|
|
number: 4, SI
|
||
|
|
number-of-cited-references: '56'
|
||
|
|
pages: 298-309
|
||
|
|
papis_id: 07e0524eaaedd83200d684d2b6f6b248
|
||
|
|
ref: Zandam2019equityanalysis
|
||
|
|
researcherid-numbers: Zandam, Hussaini/AAF-7449-2020
|
||
|
|
times-cited: '2'
|
||
|
|
title: Equity analysis of health system accessibility from perspective of people with
|
||
|
|
disability
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000491087800007
|
||
|
|
usage-count-last-180-days: '1'
|
||
|
|
usage-count-since-2013: '18'
|
||
|
|
volume: '24'
|
||
|
|
web-of-science-categories: Health Policy \& Services
|
||
|
|
year: '2019'
|