ReviewGlobal health research and policy2018
Factors affecting access to primary health care services for persons with disabilities in rural areas: a "best-fit" framework synthesis.
Review in Global health research and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- A systematic review of the scope and impact of rural primary healthcare innovations using digital health technology.BMJ open · 2026Pooled it
- Access to health insurance amongst people with disabilities and its association with healthcare use, health status and financial protection in low- and middle-income countries: a systematic review.International journal for equity in health · 2024Pooled it
- Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review.JCO global oncology · 2023Pooled it
- Beyond physical access: disability-inclusive primary health care as a test of health equity in Sub-Saharan Africa.International journal for equity in health · 2026Article
- Challenges and Solutions in Provision of Health Services to People With Disabilities During Mass Gatherings.Public health challenges · 2026Article
- Inclusive Digital Health Strategies for Persons With Disabilities: A Scoping Review.JAMA network open · 2026Article
- Disability-related care trajectories in a pluralistic health system: a qualitative study in urban Sierra Leone.BMC public health · 2026Article
- Barriers to Health Equity and Contributors to Health Disparities Among Individuals with Intellectual and Developmental Disabilities: A Narrative Review.Future (Basel, Switzerland) · 2026Article
- The Factors Associated with Access to Healthcare Services for Cancer Patients in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Preventive care for adults with Down syndrome in Connecticut: a mixed-methods study.Primary health care research & development · 2026Article
- Telemedicine utilization and digital inclusion among people with disabilities in Saudi Arabia: post-pandemic associated factors and policy implications.Frontiers in public health · 2026Article
- An insight into the experience of healthcare providers and users of women-friendly health services in Jordan-a mixed method study.Frontiers in global women's health · 2026Article
- Caregiver beliefs and practices about communication disorders in early childhood development centres from Durban: A qualitative study.BMJ public health · 2026Article
- Integrating telemedicine and community support to enhance healthcare access for people with disabilities: a SANRA-aligned narrative review.Frontiers in public health · 2026Review
- Bridging the gap between evidence and practice: a national level initiative to implement Standard Treatment Guidelines (STGs) in clinical practice.BMC health services research · 2025Article
- Assessment of Knowledge, Attitudes, and Practices Concerning Cervical Cancer Among Women of Early Reproductive Age in Bangladesh: A Cross-Sectional Study.Health science reports · 2025Article
- Impact of Health All-in-One Machines on access to healthcare of rural areas in China: an interrupted time series analysis.BMC health services research · 2025Article
- Sepsis beyond bundles: contextualising paediatric care in resource-limited settings through situational analysis.BMJ paediatrics open · 2025Article
- Practical insights for enhancing primary care rehabilitation services in low-resource contexts.African journal of primary health care & family medicine · 2025Article
- Exploring the role of the JEEViKA swasthya mitra helpdesk in improving healthcare access: a qualitative study in tertiary healthcare facilities in Bihar, India.BMC health services research · 2025Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to primary health care (PHC) is a fundamental human right and central in the performance of health care systems, however persons with disabilities (PWDs) generally experience greater barriers in accessing PHC than the general population. These problems are further exacerbated for those with disabilities in rural areas. Understanding PHC access for PWDs is particularly important as such knowledge can inform policies, clinical practice and future research in rural settings.
methodsWe conducted a synthesis of published literature to explore the factors affecting access to PHC for PWDs in rural areas globally. Using an adapted keyword search string we searched five databases (CINAHL, EMBASE, Global Health, Medline and Web of Science), key journals and the reference lists of included articles. We imported the articles into NVivo and conducted deductive (framework) analysis by charting the data into a rural PHC access framework. We subsequently conducted inductive (thematic) analysis.
resultsWe identified 36 studies that met our inclusion criteria. A majority (
conclusionOur synthesis noted that modifying the access framework to incorporate relationships among the barriers might help better conceptualize PHC access challenges and opportunities in rural settings. We also made recommendations for policy development, practice consideration and future research that could lead to more equitable access to health care. Importantly, there is the need for health policies that aim address rural health problems to consider all the dimensions and their interactions. In terms of practice, the review also highlights the need to provide in-service training to health care providers on how to enhance their communication skills with PWDs. Future research should focus on exploring access in geographical contexts with different health care systems, the perspectives of health care providers and how PWDs respond to access problems in rural settings.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.