Abstract:
METHODS:Six electronic databases were searched for relevant studies from 2000 to 2019. Forty-one eligible studies were identified. RESULTS:Findings suggest that the people with disabilities' choice to seek healthcare services or not, as well as the quality of intervention provided by primary healthcare providers, are influenced by three types of barriers: cultural beliefs or attitudinal barriers, informational barriers, and practical or logistical barriers. CONCLUSION:In order to achieve full health coverage at acceptable quality for people with disabilities, it is necessary not only to consider the different barriers, but also their combined effect on people with disabilities and their households. It is only then that more nuanced and effective interventions to improve access to primary healthcare, systematically addressing barriers, can be designed and implemented. IMPLICATIONS FOR REHABILITATION People with disabilities in both high income and low- and middle-income country settings are more likely to experience poorer general health than people without disabilities. Barriers to accessing primary healthcare services for people with disabilities result from a complex and dynamic interacting system between attitudinal and belief system barriers, informational barriers, and practical and logistical barriers. Given primary healthcare is often the initial point of contact for referral to specialty care and rehabilitation services, it is crucial for people with disabilities to access primary healthcare services in order to get appropriate referrals for such services, specifically rehabilitation as appropriate. To achieve full health coverage at acceptable quality for people with disabilities, starting with primary healthcare, it is necessary for healthcare stakeholders, including rehabilitation professionals, to consider the combined and cumulative effects of the various barriers to healthcare on people with disabilities and their families and develop an understanding of how healthcare decisions are made by people with disabilities at the personal and the household level.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Hashemi G,Wickenden M,Bright T,Kuper Hdoi
10.1080/09638288.2020.1817984subject
Has Abstractpub_date
2020-09-21 00:00:00pages
1-14eissn
0963-8288issn
1464-5165pub_type
杂志文章abstract:PURPOSE:After stroke, impaired walking ability may affect activity and participation. The aim was to investigate whether self-reported activity and participation were associated with walking endurance late after stroke. METHOD:A non-randomised sample of 31 persons with a mean age of 59.7 years and time since stroke of...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.560329
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:The aim of this paper is to position, define and discuss three concepts crucial for research and practice concerning person-environment relationships, viz. accessibility, usability and universal design. METHODS:Literature review, synthesized with the authors' research and practice experiences. RESULTS:The aut...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/dre.25.2.57.66
更新日期:2003-01-21 00:00:00
abstract::Purpose: To determine the feasibility of conducting a definitive randomised trial to evaluate the efficacy of custom-fitted footwear for increasing physical activity in children and adolescents with Down syndrome.Methods: Assessor-blinded, parallel-group randomised pilot study. Thirty-three children and adolescents wi...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1692380
更新日期:2019-11-22 00:00:00
abstract::Purpose: To systematically review and synthesise the qualitative literature on experiences that challenge self-identity following traumatic brain injury (TBI).Method: Four electronic databases were searched systematically for qualitative research published between 1965 and August 2017, investigating subjective experie...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1743773
更新日期:2020-03-28 00:00:00
abstract:PURPOSE:Reasons for referral of patients with chronic, slowly progressive neuromuscular disorders (NMD) to occupational therapy (OT), physical therapy (PT) and speech therapy (ST) are often unclear. One-off consultations by OT, PT and ST can help patients and physicians to decide if therapy is needed. We present a cons...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280701403437
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To examine the psychometric properties of the Driving Awareness Questionnaire (DriveAware) and to compare this rating of awareness of driving ability with the rating made in the context of an on-road assessment. METHOD:A prospective design was employed to examine the psychometric properties of DriveAware using...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280802509553
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate the relations between the ICF components from a subjective perspective. METHOD:Data on health condition and perceived functioning were collected among 2941 individuals with at least one chronic disease or disorder. Path analysis was used with perceived level of particip...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.647233
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:To identify trajectories of physical and psychosocial health-related quality of life (HRQoL) from two months to one-year post stroke and to determine the factors that are associated with trajectory membership. METHOD:Multicenter prospective cohort study in which 351 stroke patients were followed up at 2, 6, an...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1292320
更新日期:2018-05-01 00:00:00
abstract::The subacute phase of low back pain has been termed as the "golden hour" to intervene to prevent work disability. This notion is based on the literature up to 2001 and is limited to back pain. In this narrative review, we examined whether the current literature indicate an optimal time for return to work (RTW) interve...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1503735
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:To review prevailing models of disability management and prevention with respect to communication, and to suggest alternative approaches. METHOD:Review of selected articles. RESULTS:Effective disability management and return to work strategies have been the focus of an increasing number of intervention progra...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638280410001672517
更新日期:2004-06-03 00:00:00
abstract:PURPOSE:The term "Living Lab" was coined to reflect the use of sensors to monitor human behavior in real life environments. Until recently such measurements had been feasible only within experimental laboratory settings. The objective of this paper is to highlight research on health care sensing and monitoring devices ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2015.1059494
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:This research examined the long-term outcomes of rehabilitation patients with moderate to severe traumatic brain injury (TBI). DESIGN:Retrospective cohort study. SETTING AND SUBJECTS:We examined consecutive records of persons with moderate to severe traumatic brain injury who were discharged from a large re...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280310001639722
更新日期:2004-03-04 00:00:00
abstract::Purpose: This study compared Internet use post-stroke in people with aphasia (n = 25) and without aphasia (n = 17). The purpose was to understand how people with aphasia were using the Internet and to investigate the impact of aphasia on their use.Materials and methods: A face-to-face supported questionnaire explored ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1580320
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:All the major current case definitions for chronic fatigue syndrome (CFS) specify substantial reductions in previous levels of occupational, educational, social, or personal activities to meet criteria. Difficulties have been encountered in operationalizing 'substantial reductions.' For example, the Medical Out...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.503256
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:The aim of this follow-up study was to examine the relationships among motor function, activity and participation following constraint-induced therapy (CIT). METHODS:In this correlational study, 12 individuals who had previously participated in CIT completed the Fugl Meyer Assessment for the Upper Extremity an...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2014.910560
更新日期:2015-01-01 00:00:00
abstract::Purpose: To examine associations between neurosegmental and functional level classifications in children with Spina Bifida, and determine which classification best reflects daily walking activity.Materials and methods: A prospective correlational study was conducted. Children with Spina Bifida were given ratings for l...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1746845
更新日期:2020-04-07 00:00:00
abstract:PURPOSE:To examine test-retest reliability and construct validity of the Scandinavian version of the caregiver priorities and child health index of life with disabilities (CPCHILD) questionnaire for children with cerebral palsy (CP). METHODS:Families were recruited in Sweden and Norway and stratified according to the ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1378930
更新日期:2019-01-01 00:00:00
abstract:PURPOSE:Message generating is a complex process involving a number of processes, including the selection of modes to use. When expressing a message, human communicators typically use a combination of modes. This phenomenon is often termed multimodality. This article explores the use of models that explain multimodality...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.1080/09638280500384168
更新日期:2006-02-15 00:00:00
abstract::Purpose: The study aim was to analyze whether ambulatory therapy of chronic stroke patients contains elements that specifically address "Activity and participation", and to what extent participation as a major goal in rehabilitation is realized in ambulatory care.Method: Qualitative and quantitative content analysis o...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1503732
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:The aim of this study is twofold: (1) to explore health service providers' perceptions regarding fibromyalgia patients in Spain and (2) to analyze possible consequences of these perceptions in terms of how health service providers construct the disease and treat their patients. DESIGN:Qualitative study. SUBJE...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1306759
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:People with Multiple Sclerosis (PwMS) have a high incidence of accidental falls that have a potentially detrimental effect on their daily life participation. The effect of balance specific rehabilitation on clinical balance measures and frequency of falls in PwMS was studied. METHOD:A bi-centre randomised rate...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/09638288.2016.1258089
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:In this case study, we investigated the use of repetition in an individual with a neurogenic communication disorder. METHOD:We present an analysis of interaction in natural conversations between a woman with advanced Huntington's disease (HD), whose speech had been described as sometimes characterised by echol...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.514971
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Surveys have been the conventional methods used for identification of people with disabilities; however, they have been observed to be expensive and time-consuming that may not be affordable or practical. As a result, the participatory rural appraisal (PRA) and key informant (KI) approaches have been develop...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638280903023397
更新日期:2010-01-01 00:00:00
abstract:UNLABELLED:Abstract Purpose: Group singing could be a promising component of neurorehabilitative care. This article aims to conceptualize how group singing may enable people with Parkinson's disease (PD) to synchronize their movement patterns to musical rhythm and enhance quality of life. METHOD:Spanning the medical a...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2013.793749
更新日期:2014-01-01 00:00:00
abstract::Handicap has proved to be the most contentious and arguably most misunderstood concept of the International Classification of Impairments, Disabilities, and Handicaps (ICIDH). This paper reviews the definition and characteristics of handicap as presented in the original introduction to the ICIDH, and presents some of ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289509166628
更新日期:1995-02-01 00:00:00
abstract:PURPOSE:To describe access to and engagement with cervical and breast screening services for women who are Deaf or live with a physical or sensory disability in Aotearoa New Zealand (NZ). METHOD:We carried out an online survey on a convenience sample of 84 women. Tests of association were undertaken between socio-demo...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1817158
更新日期:2020-09-15 00:00:00
abstract:PURPOSE:A key component in assessing the performance of rehabilitation services is the client's perspective. The purpose of this paper is to report on the development of a publicly available measure of client-centred rehabilitation (CCRQ) that can be used for discriminative and evaluative purposes. METHOD:Mixed qualit...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280600638398
更新日期:2006-11-30 00:00:00
abstract::A combined objective-oriented and subjective-oriented method for evaluating accessibility and usability of web pages for students with disability was tested. The objective-oriented approach is devoted to verifying the conformity of interfaces to standard rules stated by national and international organizations respons...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280400014766
更新日期:2005-07-08 00:00:00
abstract:PURPOSE:This study explored the perceptions of staff members regarding the implementation of a new communicative approach at a multidisciplinary neurorehabilitation centre in Denmark. Communication partner training according to Supported Conversation for Adults with Aphasia (SCATM) was combined with augmentative strate...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2020.1853829
更新日期:2020-12-05 00:00:00
abstract:PURPOSE:To ascertain how well health services in Lusaka, Zambia currently meet the safe motherhood and reproductive health care needs of women who have physical impairment leading to disability. METHODS:A qualitative study was conducted in Lusaka, Zambia. In-depth tape-recorded interviews were conducted with 24 purpos...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280310001629651
更新日期:2004-01-21 00:00:00