Factors affecting access to primary health care services for persons with disabilities in rural areas:a“best-fit”framework synthesis

作     者：Ebenezer Dassah Heather Aldersey Mary Ann McColl Colleen Davison 

作者机构：School of Rehabilitation TherapyQueen’s UniversityLouise D.Acton Building31 George StreetKingstonOntario K7L 3N6Canada Department of Public Health SciencesQueen’s UniversityCarruthers Hall62 Fifth Field Company LaneKingstonOntario K7L 3N6Canada 

出 版 物：《Global Health Research and Policy》 (全球健康研究与政策（英文）)

年 卷 期：2018年第3卷第1期

页      面：1-13页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Primary health care Access Rural Disability Review 

摘      要：Background:Access to primary health care(PHC)is a fundamental human right and central in the performance of health care systems,however persons with disabilities(PWDs)generally experience greater barriers in accessing PHC than the general *** problems are further exacerbated for those with disabilities in rural *** PHC access for PWDs is particularly important as such knowledge can inform policies,clinical practice and future research in rural ***:We conducted a synthesis of published literature to explore the factors affecting access to PHC for PWDs in rural areas *** an adapted keyword search string we searched five databases(CINAHL,EMBASE,Global Health,Medline and Web of Science),key journals and the reference lists of included *** imported the articles into NVivo and conducted deductive(framework)analysis by charting the data into a rural PHC access *** subsequently conducted inductive(thematic)***:We identified 36 studies that met our inclusion criteria.A majority(n=26)of the studies were conducted in low-and middle-income *** found that PWDs were unable to access PHC due to obstacles including the interplay of four major factors;availability,acceptability,geography and *** particular,limited availability of health care facilities and services and perceived low quality of care meant that those in need of health care services frequently had to travel for *** barrier of geographic distance was worsened by transportation *** also observed that where health services were available most people could not afford the ***:Our synthesis noted that modifying the access framework to incorporate relationships among the barriers might help better conceptualize PHC access challenges and opportunities in rural *** also made recommendations for policy development,practice consideration and future research that could lead to more equitable acc