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Satisfaction with Health Facility Personnel Among Older People with Disabilities in Chile: An Observational Study Based on the 2024 DISCA Survey

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  • Elena S. Rotarou

    (National Department of Public Health, Faculty of Medicine, Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile
    Millennium Nucleus Studies on Disability and Citizenship—DISCA (NCS2022_039), Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile
    Interuniversity Network on Healthy Ageing in Latin America and the Caribbean (RIES-LAC), Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile)

  • Dikaios Sakellariou

    (Millennium Nucleus Studies on Disability and Citizenship—DISCA (NCS2022_039), European University Cyprus, Nicosia P.O. Box 22006, Cyprus
    Department of Health Sciences, European University Cyprus, Nicosia P.O. Box 22006, Cyprus
    School of Healthcare Sciences, Cardiff University, Cardiff CF14 4XN, UK)

  • Rafael Pizarro-Mena

    (Millennium Nucleus Studies on Disability and Citizenship—DISCA (NCS2022_039), Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile
    Interuniversity Network on Healthy Ageing in Latin America and the Caribbean (RIES-LAC), Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile
    Faculty of Rehabilitation Sciences and Life Quality, Universidad San Sebastián, Los Leones Campus, Santiago 7500000, Chile)

Abstract

Achieving health equity for people with disabilities requires addressing the barriers that they face when accessing healthcare. Older adults with disabilities may experience compounded disparities, yet little research has explored their satisfaction with health facility personnel, including non-healthcare staff. This study examines differences in satisfaction with health facility personnel between younger (18–59 years) and older (60+) adults with disabilities in Chile. Data from the 2024 Disability and Citizenship (DISCA) survey were analysed using chi-square tests to examine differences between younger and older people with disabilities with regard to their satisfaction with health facility personnel. Ordered logistic regressions were employed to predict high satisfaction, given socioeconomic and health-related variables. Findings indicated that a higher percentage of older adults with disabilities reported high satisfaction with health facility personnel compared to younger adults. Ordered logistic regressions confirmed that older adults had greater odds of reporting high satisfaction with doctors (OR: 3.83), other health professionals (OR: 4.66), paramedical technicians (OR: 4.31), and administrative staff (OR: 3.13). These results suggest that age influences satisfaction levels among people with disabilities, potentially due to varying expectations, experiences, or interactions with health facility personnel. Understanding the underlying reasons for these age-related differences is essential to inform policies and practices that ensure equitable, person-centred care for people with disabilities across the life course.

Suggested Citation

  • Elena S. Rotarou & Dikaios Sakellariou & Rafael Pizarro-Mena, 2025. "Satisfaction with Health Facility Personnel Among Older People with Disabilities in Chile: An Observational Study Based on the 2024 DISCA Survey," IJERPH, MDPI, vol. 22(7), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:7:p:1103-:d:1700641
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    References listed on IDEAS

    as
    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
    2. Krahn, G.L. & Walker, D.K. & Correa-De-Araujo, R., 2015. "Persons with disabilities as an unrecognized health disparity population," American Journal of Public Health, American Public Health Association, vol. 105, pages 198-206.
    3. Rotarou, Elena S. & Sakellariou, Dikaios, 2017. "Neoliberal reforms in health systems and the construction of long-lasting inequalities in health care: A case study from Chile," Health Policy, Elsevier, vol. 121(5), pages 495-503.
    4. repec:plo:pmed00:0040296 is not listed on IDEAS
    5. Sergio Jara-Rosales & Elena S. Rotarou, 2024. "Cervical Cancer Screening Uptake Among Women with Disabilities: Findings from a Cross-Sectional Study in Chile," IJERPH, MDPI, vol. 21(12), pages 1-18, November.
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