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Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care

Author

Listed:
  • Maggie Campillay-Campillay

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Ana Calle-Carrasco

    (Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Pablo Dubo

    (Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Jorge Moraga-Rodríguez

    (Programa de Magíster en Metodología de Investigación Cualitativa para la Salud, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó 7500015, Chile)

  • Juan Coss-Mandiola

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Jairo Vanegas-López

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Alejandra Rojas

    (Escuela de Obstetricia y Puericultura, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Santiago 8320096, Chile)

  • Raúl Carrasco

    (Facultad de Ingeniería y Negocios, Univerdidad de Las Américas, Santiago 3981000, Chile)

Abstract

The purpose of this research is to evaluate universal accessibility in primary healthcare (PHC) centers in the Atacama region, Chile, through an analytical cross-sectional study with a quality approach, which uses the external audit model with the application of a dichotomous comparison guideline, evaluating levels of compliance with four dimensions of universal accessibility described in the literature: participation, information, accessibility chain and architectural aspects. This was carried out in 18 PHC, and set as Lower Control Limit (LCL) of 70% to compare levels of compliance, and a hierarchical model and k-mean analysis were applied. Results: Very low compliance averages were obtained, 37.7% participation, 4% information, 44.4% access chain, and 63.9% architectural aspects, indicating a critical situation. Moreover, the cluster comparison allowed to observe that a group of healthcare centers complies more than other groups, which requires more attention. Conclusions: The low level of accessibility for people with disabilities may be associated with various factors that require further monitoring and analysis. However, low levels of accessibility require changing the way of relating to this vulnerable group of the population, and considering including them in the design and reasonable adjustments made in PHC centers. The findings from this research open the possibility for future research that increases understanding of how to reduce barriers in a such wide variety of forms of disability.

Suggested Citation

  • Maggie Campillay-Campillay & Ana Calle-Carrasco & Pablo Dubo & Jorge Moraga-Rodríguez & Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco, 2022. "Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12439-:d:929459
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    References listed on IDEAS

    as
    1. Ximena Alvial & Alejandra Rojas & Raúl Carrasco & Claudia Durán & Christian Fernández-Campusano, 2021. "Overuse of Health Care in the Emergency Services in Chile," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    2. Rosemary B. Hughes & Susan Robinson-Whelen & Carly Knudson, 2022. "Cancer Disparities Experienced by People with Disabilities," IJERPH, MDPI, vol. 19(15), pages 1-9, July.
    3. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Raúl Carrasco & Pablo Dubo & Maggie Campillay-Campillay, 2022. "Characterization of Communes with Quality Accredited Primary Healthcare Centers in Chile," IJERPH, MDPI, vol. 19(15), pages 1-13, July.
    4. Amritpal Kaur Khakh & Victoria Fast & Rizwan Shahid, 2019. "Spatial Accessibility to Primary Healthcare Services by Multimodal Means of Travel: Synthesis and Case Study in the City of Calgary," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    5. Mitra, Sophie & Posarac, Aleksandra & Vick, Brandon, 2013. "Disability and Poverty in Developing Countries: A Multidimensional Study," World Development, Elsevier, vol. 41(C), pages 1-18.
    6. Nora Groce & Maria Kett & Raymond Lang & Jean-Francois Trani, 2011. "Disability and Poverty: the need for a more nuanced understanding of implications for development policy and practice," Third World Quarterly, Taylor & Francis Journals, vol. 32(8), pages 1493-1513.
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    1. Juan Coss-Mandiola & Jairo Vanegas-López & Alejandra Rojas & Pablo Dubó & Maggie Campillay-Campillay & Raúl Carrasco, 2023. "Accreditation of Quality in Primary Health Care in Chile: Perception of the Teams from Accredited Family Healthcare Centers," IJERPH, MDPI, vol. 20(3), pages 1-16, January.

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