ArticlePloS one2021
Use of rehabilitation services by persons with disabilities in Brazil: A multivariate analysis from Andersen's behavioral model.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- 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 associated with Traditional Chinese Medicine use among older adults with chronic diseases in China.Scientific reports · 2026Article
- Rehabilitation in primary health care: workforce and pathways toward 2030.Human resources for health · 2026Article
- Disability inclusion in the Brazilian health system: results of a health system assessment.Global health action · 2025Article
- Unmet Nonmedication Needs After Hospital Discharge and Adverse Outcomes Among Acute Respiratory Failure Survivors in Brazil: A Prospective Feasibility Study.Critical care explorations · 2025Article
- Rehabilitation for patients with retinal diseases in Brazil: An exploratory study.Arquivos brasileiros de oftalmologia · 2024Article
- Addressing Rehabilitation Health Care Disparities During the Coronavirus Disease-2019 Pandemic and Beyond.Physical medicine and rehabilitation clinics of North America · 2023Review
- Factors Associated with Lack of Health Screening among People with Disabilities Using Andersen's Behavioral Model.Healthcare (Basel, Switzerland) · 2023Article
- Socioeconomic disparities in using rehabilitation services among Iranian adults with disabilities: a decomposition analysis.BMC health services research · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor many years, discussions about health care for people with disabilities (PwD) in Brazil have not been treated as a priority; however, based on the advances made at the beginning of this century, new policies have been developed with the aim of improving access of these people to health services. Therefore, the aim of this study was to analyze how individual characteristics and contextual indicators are associated with access to rehabilitation services for PwD in Brazil.
methodsA multivariate analysis was performed based on data from the National Health Survey 2013, considering access to rehabilitation services by PwD as the primary outcome and individual and contextual factors selected from Andersen's behavioral model as independent variables. The contextual variables were reduced to two composite indicators (1-primary health care coverage and unfavorable socioeconomic conditions, and 2-economic inequality) from the analysis of the principal components. Poisson regression analysis with robust variance was performed to estimate the prevalence ratio (PR) and the respective 95% confidence interval (95%CI).
resultsAccess to rehabilitation services by PwD was more prevalent in people aged 0 to 17 years (PR = 3.28; 95%CI 2.85-3.78), who are illiterate (PR = 1.24; 95%CI 1.09-1.40), whose socioeconomic level is A or B (PR = 1.60; 95%CI 1.35-1.88), who have health insurance (PR = 1.31; 95%CI 1.15-1.49), who have severe limitations (PR = 3.09; 95%CI 2.64-3.62), who live in states with a good offer of Specialized Rehabilitation Centers, both type II (PR = 1.20; CI95% 1.08; 1.33) and type IV (PR = 1.29; CI95% 1.15; 1.44), and who have greater coverage of primary health care, but unfavorable socioeconomic conditions (PR = 1.15; CI95% 1.03-1.28).
conclusionThe results clarify the social inequities that exist regarding access to rehabilitation services for PwD in Brazil and highlight the need to formulate and implement public policies that guarantee the realization of the rights of these people.
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