Evidence map›Paper›PMID 39442120›Full record

ArticleRevista de saude publica2024

Access to primary healthcare services among adults with disabilities in Brazil.

Veronika Reichenberger, Maria Eduarda Lima de Carvalho, Tom Shakespeare, Shaffa Hameed, Tereza Maciel Lyra, Maria do Socorro Velo de Albuquerque, Loveday Penn-Kekana, Christina May Moran de Brito, Luciana Sepúlveda Köptcke, Hannah Kuper

Abstract read
In one paragraph

Article in Revista de saude publica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

10 authors.

Veronika ReichenbergerLondon School of Hygiene & Tropical Medicine. International Centre for Evidence in Disability. London, United Kingdom.ORCID http://orcid.org/0000-0001-6778-2682
Maria Eduarda Lima de CarvalhoUniversidade Federal de Pernambuco. Centro de Ciências Médicas. Recife, PE, Brasil.ORCID http://orcid.org/0000-0002-7610-1348
Tom ShakespeareLondon School of Hygiene & Tropical Medicine. International Centre for Evidence in Disability. London, United Kingdom.ORCID http://orcid.org/0000-0003-2571-2787
Shaffa HameedLondon School of Hygiene & Tropical Medicine. International Centre for Evidence in Disability. London, United Kingdom.ORCID http://orcid.org/0000-0003-2723-1709
Tereza Maciel LyraFundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.ORCID http://orcid.org/0000-0002-3600-7250
Maria do Socorro Velo de AlbuquerqueUniversidade Federal de Pernambuco. Centro de Ciências Médicas. Recife, PE, Brasil.ORCID http://orcid.org/0000-0002-1520-700X
Loveday Penn-KekanaLondon School of Hygiene & Tropical Medicine. Department of Epidemiology and Public Health. Maternal and Neonatal Health Group. London, United Kingdom.ORCID http://orcid.org/0000-0002-9758-4529
Christina May Moran de BritoUniversidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-3775-6533
Luciana Sepúlveda KöptckeFundação Oswaldo Cruz. Brasília, DF, Brasil.ORCID http://orcid.org/0000-0001-7079-6575
Hannah KuperLondon School of Hygiene & Tropical Medicine. International Centre for Evidence in Disability. London, United Kingdom.ORCID http://orcid.org/0000-0002-8952-0023

Funding

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

Abstract

objectiveTo investigate perspectives of people with disabilities in Brazil regarding the access to primary healthcare.

methodsIn-depth interviews were conducted with 44 individuals with disabilities in Pernambuco, Distrito Federal, and São Paulo between March 2020 and November 2021. These interviews were transcribed, coded, and analysed thematically, using the Levesque framework to identify healthcare access barriers.

resultsParticipants expressed a solid understanding of their healthcare needs and existing obstacles. However, individuals with hearing and visual impairments experience challenges because of communication barriers. In Pernambuco, the Community Health Agent was often the initial point of contact for primary care services. Public transportation lacked accessibility, from buses to driver attitudes, posing difficulties for people with disabilities. More accessible transportation and improved urban infrastructure could enhance service access. High medication costs were reported due to limited healthcare unit availability. Communication accessibility issues, inadequate audio-visual resources and equipment were also identified as barriers. Attitudinal barriers among healthcare professionals and subpar home visit services further hinder access.

conclusionTo address these challenges and improve the well-being of individuals with disabilities in Brazil, comprehensive action is essential. This includes leadership, governance, and resource allocation reforms to meet healthcare needs. Initiatives like disability-focused training for service providers, enhanced transportation options, improved information accessibility, and increased support from community healthcare workers can collectively enhance the lives of people with disabilities.

Indexed as

Health Services AccessibilityPersons with DisabilitiesPrimary Health CareQualitative ResearchAdultBrazilCommunication BarriersFemaleHumansInterviews as TopicMaleMiddle AgedTransportationYoung Adult

Identifiers

PMID39442120
PMCPMC11548912

What OpenQuestion holds

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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.