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'