Evidence map›Paper›PMID 38433528›Full record

ReviewDisability and rehabilitation2024

Access to primary healthcare services for adults with disabilities in Latin America and the Caribbean: a review and meta-synthesis of qualitative studies.

Veronika Reichenberger, Ana Paula Corona, Vinicius Delgado Ramos, Tom Shakespeare, Shaffa Hameed, Loveday Penn-Kekana, Hannah Kuper

Open access · greenAbstract readReview
In one paragraph

Review in Disability and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Veronika ReichenbergerInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Ana Paula CoronaDepartment of Hearing and Speech Sciences, Multidisciplinary Institute of Rehabilitation and Health, Federal University of Bahia, Salvador, Brazil.
Vinicius Delgado RamosInstituto de Medicina Fisica e Reabilitacao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Tom ShakespeareInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Shaffa HameedInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
Loveday Penn-KekanaEpidemiology and Public Health, Maternal and Neonatal Health Group, London School of Hygiene & Tropical Medicine, London, UK.
Hannah KuperInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade Federal da Bahia · BR

Funding

Medical Research Council MR/R022755/1
6 · The paper itself

Abstract

purposeThis review and meta-synthesis of qualitative studies aims to provide an overview of qualitative evidence on primary healthcare access of people with disability in Latin America and the Caribbean, as well as to identify barriers that exist in this region.

methodsSix databases were searched for studies from 2000 to 2022. 34 qualitative studies were identified.

resultsBarriers exist on both demand and supply sides. The thematic synthesis process generated three broad overarching analytical themes, which authors have related to Levesque et al.'s aspects of "ability to perceive," "availability, accommodation and ability to reach" and "appropriateness and ability to engage." Access to information and health literacy are compromised due to a lack of tailored health education materials. Barriers in the urban environment, including inadequate transportation, and insufficient healthcare facility accessibility create challenges for people with disabilities to reach healthcare facilities independently. Attitudinal barriers contribute to suboptimal care experiences.

conclusionPeople with disabilities face several barriers in accessing healthcare. Lack of healthcare provider training, inappropriate urban infrastructure, lack of accessible transport and inaccessibility in healthcare centers are barriers that need to be addressed. With these actions, people with disabilities will be closer to having their rights met.

Indexed as

Health Services AccessibilityPersons with DisabilitiesPrimary Health CareAdultCaribbean RegionHumansLatin AmericaQualitative Researchbarriers to healthcareDisabilityLatin America and the Caribbeanmeta-synthesispeople with disabilitiesprimary healthcare

Identifiers

PMID38433528
PMCPMC7616503
OpenAlexW4392373106

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.