ArticleInternational journal of environmental research and public health2021
A National Accessibility Audit of Primary Health Care Facilities in Brazil-Are People with Disabilities Being Denied Their Right to Health?
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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
15 citing papers in PubMed, 30 citations in OpenAlex.
- Participatory accessibility audits as a tool for disability-inclusive health systems: Findings from two Indian states.Dialogues in health · 2026Article
- Physical and Environmental Accessibility of Dental Services for Persons with Disabilities in Saudi Primary Health Care: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Are primary healthcare facilities in Ethiopia complying with accessibility standards for disability-inclusion? an accessibility audit in Bahir Dar City.BMC health services research · 2026Article
- Disability inclusion in the Brazilian health system: results of a health system assessment.Global health action · 2025Article
- Does life expectancy vary by disability status in LMICs?: A systematic review and meta-analysis.African journal of disability · 2025Review
- Access to primary healthcare services for adults with disabilities in Latin America and the Caribbean: a review and meta-synthesis of qualitative studies.Disability and rehabilitation · 2024Review
- Adapting and pilot testing a tool to assess the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda.International journal for equity in health · 2024Article
- Construct validity and reliability of the participation scale (P-scale) in individuals with spinal cord injury.The journal of spinal cord medicine · 2024Article
- Dental Profile of Brazilian Patients with Rare Skeletal Genetic Disorders: Clinical Features and Associated Factors.Healthcare (Basel, Switzerland) · 2024Article
- Inclusion of disability in primary healthcare facilities and socioeconomic inequity in Brazil.Revista de saude publica · 2024Article
- Exploration of the factors influencing hearing disability in older adults of China: a nested case-control study.Frontiers in public health · 2024Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Equality and social determinants of spatial accessibility, availability, and affordability to primary health care in Hong Kong, a descriptive study from the perspective of spatial analysis.BMC health services research · 2022Article
- The National Health Policy for people with disabilities in Brazil: an analysis of the content, context and the performance of social actors.Health policy and planning · 2022Article
- Investigation of COVID-19 Vaccine Information Websites across Europe and Asia Using Automated Accessibility Protocols.International journal of environmental research and public health · 2022Article
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 2 institutions in 2 countries.
Funding
Abstract
Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0-100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.
Indexed as
Identifiers
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.