Evidence map›Paper›PMID 39942501›Full record

ReviewHealthcare (Basel, Switzerland)2025

Barriers and Facilitators of Access to Healthcare Among Immigrants with Disabilities: A Qualitative Meta-Synthesis.

Ponsiano Ngondwe, Gashaye Melaku Tefera

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Measuring General Health Literacy in Haitian Immigrant Adults: Validation of the HLSInternational journal of environmental research and public health · 2026
    Article
  2. A double disadvantage? Immigrant and disability status as predictors of community belonging in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Crossing Borders: SRH Challenges Among Immigrant and Minority Adolescents.International journal of environmental research and public health · 2025
    Review
  9. 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

2 authors.

Ponsiano NgondweCollege of Social Work, Florida State University, Tallahassee, FL 32304, USA.ORCID 0009-0006-1457-5616
Gashaye Melaku TeferaCollege of Social Work, Florida State University, Tallahassee, FL 32304, USA.ORCID 0000-0002-1677-0494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmigrants with disabilities (IWDs) are disproportionately affected by a lack of access to healthcare services and face unique challenges compared to the general population. This qualitative meta-synthesis examines the barriers, facilitators, and lived experiences of IWDs accessing healthcare in the U.S. and Canada.

methodsA theory-generating qualitative meta-synthesis approach was used to analyze and synthesize raw qualitative data. Using eight databases, 752 studies were retrieved, and 10 were selected and synthesized after a three-stage review. The final articles were assessed using the Critical Appraisal Skills Program (CASP) checklist, and a PRISMA flow chart was used to report on the selection process.

resultsThe analysis identified structural barriers, including the bureaucracy and complexity of the system, healthcare costs, transportation, communication, long wait times, and a lack of integrated services. Cultural barriers included denial and trust, stigma and discrimination, awareness and language gaps, and lack of social support. Facilitators of access included support from immediate family members, community health centers, and social workers.

conclusionsThe findings highlight the need for policy reforms to reduce bureaucratic hurdles, improve communication within healthcare systems, and enhance cultural competence among healthcare providers. Addressing these issues through integrated service models and targeted support can significantly improve the quality of life as a result of improved healthcare access for IWDs.

Indexed as

access to healthcarebarriers of accessfacilitators of accessimmigrants with disabilities

Identifiers

PMID39942501
PMCPMC11816456

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.