2023-09-28 14:46:10 +00:00
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abstract: 'Purpose Self-evaluated access and accessibility has been found to be
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associated with healthcare seeking and quality of life. Studies have
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shown that, however, a vast majority of individuals with disability
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living in poor countries have limited access to healthcare influenced by
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several barriers. The purpose of this paper is to compare the perception
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of general accessibility of health care services and its association
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with access barriers and other contextual factors between people with
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physical disabilities and counterparts without disability.
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Design/methodology/approach This study is a cross sectional survey
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involving 213 individuals with physical disabilities and 213
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counterparts without disability sampled using a multi-stage method. Data
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were collected using a structured questionnaire with sections on
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socioeconomic and living conditions, education, health, employment and
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access to health care. Data analysis involved using chi(2) for
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proportions and T-test and multiple regressions (stepwise) method to
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determine significant factors that influence perception on
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accessibility. Findings The study finds that people with disabilities
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fared worse in various socioeconomic factors such as education,
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employment, income and assets possession. People with disabilities also
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experience more dimensional barriers and reported poor health system
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accessibility. The difference in accessibility continued after adjusting
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for other variables, implying that there are more inherent factors that
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explain the perception of access for people with disabilities. Practical
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implications - Governments should ensure equitable access to health care
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delivery for people with disabilities through equitable health policies
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and services that are responsive to the needs of people with
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disabilities and promote the creation of enabling environment to enhance
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participation in health care delivery. Originality/value The authors
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confirm that the paper has neither been submitted to peer review, nor is
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in the process of peer reviewing or accepted for publishing in another
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journal. The author(s) confirms that the research in this work is
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original, and that all the data given in the paper are real and
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authentic. If necessary, the paper can be recalled, and errors
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corrected. The undersigned authors transfer the copyright for this work
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to the International Journal of Health Governance. The authors are free
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of any personal or business association that could represent a conflict
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of interest regarding the paper submitted, and the authors have
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respected the research ethics principles.'
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affiliation: 'Zandam, H (Corresponding Author), Univ Putra Malaysia, Dept Community
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Hlth, Serdang, Malaysia.
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Zandam, Hussain, Univ Putra Malaysia, Dept Community Hlth, Serdang, Malaysia.
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Juni, Muhamad Hanafiah, Univ Putra Malaysia, Fac Med \& Hlth, Dept Community Hlth,
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Hlth Serv Management Unit, Serdang, Malaysia.'
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author: Zandam, Hussain and Juni, Muhamad Hanafiah
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author-email: huzandam@gmail.com
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author_list:
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- family: Zandam
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given: Hussain
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- family: Juni
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given: Muhamad Hanafiah
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da: '2023-09-28'
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doi: 10.1108/IJHG-11-2018-0067
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files: []
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issn: 2059-4631
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journal: INTERNATIONAL JOURNAL OF HEALTH GOVERNANCE
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keywords: 'Primary care; Patient perspectives; Emerging healthcare delivery
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structures; Quantitative research; Health law or regulation; Public
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health regulations'
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keywords-plus: QUALITY-OF-LIFE; ACCESS; CARE; BARRIERS; SERVICES
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language: English
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month: NOV 21
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number: 4, SI
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number-of-cited-references: '56'
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pages: 298-309
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papis_id: 07e0524eaaedd83200d684d2b6f6b248
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ref: Zandam2019equityanalysis
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researcherid-numbers: Zandam, Hussaini/AAF-7449-2020
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times-cited: '2'
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title: Equity analysis of health system accessibility from perspective of people with
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disability
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000491087800007
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usage-count-last-180-days: '1'
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usage-count-since-2013: '18'
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volume: '24'
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web-of-science-categories: Health Policy \& Services
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year: '2019'
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