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Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: a qualitative inquiry
- Authors:
- KROLL Thilo, et al
- Journal article citation:
- Health and Social Care in the Community, 14(4), July 2006, pp.284-293.
- Publisher:
- Wiley
Individuals with physical disabilities are less likely to utilise primary preventive healthcare services than the general population. At the same time they are at greater risk for secondary conditions and as likely as the general population to engage in health risk behaviours. This qualitative exploratory study had two principal objectives: (1) to investigate access barriers to obtaining preventive healthcare services for adults with physical disabilities and (2) to identify strategies to increase access to these services. The authors conducted five focus group interviews with adults (median age: 46) with various physically disabling conditions. Most participants were male Caucasians residing in Virginia, USA. Study participants reported a variety of barriers that prevented them from receiving the primary preventive services commonly recommended by the US Preventive Services Task Force.The authors used a health services framework to distinguish structural–environmental (to include inaccessible facilities and examination equipment) or process barriers (to include a lack of disability-related provider knowledge, respect, and skilled assistance during office visits). Participants suggested a range of strategies to address these barriers including disability-specific continuing education for providers, the development of accessible prevention-focused information portals for people with physical disabilities, and consumer self-education, and assertiveness in requesting recommended services. Study findings point to the need for a more responsive healthcare system to effectively meet the primary prevention needs of people with physical disabilities. The authors propose the development of a consumer- and provider-focused resource and information kit that reflects the strategies that were suggested by study participants.
The intersection of disability and child abuse in England and the United States
- Authors:
- COHEN Shirley, WARREN Rachel D.
- Journal article citation:
- Child Welfare Journal, 69(3), May 1990, pp.253-262.
- Publisher:
- Child Welfare League of America
Reports on the findings of a study on the combined incidence of child abuse with disability and the role of preventive services, particularly health visitors.
Health care for women with disabilities: population-based evidence of disparities
- Authors:
- PARISH Susan L., HUH Jungwon
- Journal article citation:
- Health and Social Work, 3(1), February 2006, pp.7-15.
- Publisher:
- Oxford University Press
Despite having similar or better potential access to health care, women with disabilities experience worse health care and worse preventive care than nondisabled women. This study examined the health care of a national probability sample of 8,721 disabled and 45,522 nondisabled women living in the United States. Logistic regression models, adjusted for age and household income, were estimated for eight measures of health care, including three measures of potential access to care, two measures of receipt of preventive services, and postponement of care. Findings signal potentially serious consequences for women with disabilities, who require care at higher rates than their nondisabled counterparts and are at increased risk of developing secondary conditions if their care needs are not met.
A population health perspective on disability and depression in elderly women and men
- Author:
- BOULD Sally
- Journal article citation:
- Journal of Aging and Social Policy, 17(2), 2005, pp.7-24.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Criticizes the narrow focus of the biomedical model of medical treatment for depression in the elderly and points to alternative policy approaches under the model of population health. This broader approach, together with a gender analysis, indicates a need for policies to prevent disability in late life and to alleviate existing disabilities by targeted exercise and practical self-help programs, as well as the provision of help in the home for disabled elderly women with depressive symptoms. For disabled elderly men with depressive symptoms, however, a more aggressive and comprehensive biomedical treatment is needed for better suicide prevention.
Trust betrayed
- Author:
- LAURENT Claire
- Journal article citation:
- Nursing Times, 10.3.93, 1993, p.20.
- Publisher:
- Nursing Times
Reviews the findings of the NSPCC's 'Abuse of Children and Adults with Disabilities' report, and considers the role of health professionals in protecting children with disabilities from abuse.
Disability, genetics and global justice
- Author:
- SHAKESPEARE Tom
- Journal article citation:
- Social Policy and Society, 4(1), January 2005, pp.87-95.
- Publisher:
- Cambridge University Press
Genetic developments are viewed with distrust by the disability rights community. But the argument that genetic screening promotes social injustice is not straightforward. Disabled people are affected by both the problems of impairment and the problems of disability. Preventing impairment should be a priority as well as preventing disability. Questions of social justice arise if biomedical approaches are prioritized at the cost of structural changes in society. They also arise when disabled people do not have access to genetic medicine. On a global scale, the priorities for impairment prevention are basic healthcare, not high technology medicine.
Higher benefits and better indicators need to cut poverty claim charities
- Author:
- WELLARD Sarah
- Journal article citation:
- Community Care, 2.10.03, 2003, pp.18-19.
- Publisher:
- Reed Business Information
Looks at the governments progress so far in tackling poverty light of its fifth annual poverty report 'Opportunity for all'. Also highlights areas that are not included in the poverty indicators.
Diversify to survive
- Author:
- VERNON Maxine
- Journal article citation:
- Community Care, 4.4.02, 2002, pp.28-29.
- Publisher:
- Reed Business Information
Looks at how the government is reaching out beyond the traditional sources of volunteers in the growing recognition that volunteering is in itself a route to social inclusion.
The Eugenic transition of 1996 in Japan: from law to personal choice
- Author:
- MORITA Kazuyo
- Journal article citation:
- Disability and Society, 16(5), August 2001, pp.765-771.
- Publisher:
- Taylor and Francis
The Eugenic Protection Law, which regulated sterilisation and abortion in Japan, had two aspects: one was to prevent the birth of people with specific diseases and impairments, and the other was to permit women to have an abortion for specified reasons. This law was criticised by both disabled people and feminists, and finally amended in 1996. Another eugenic practice related to both disabled people and women is prenatal screening. One prenatal diagnostic check, serum screening is a simple blood test carried out on the mother with little risk and no need for sophisticated techniques. It became very widespread in Japan around 1996 and was used with too little thought. As a result, it led to controversy. This paper discusses Japanese eugenics by reference to the Eugenic Protection Law and prenatal screening from the standpoint of both women and disabled people.
Promoting health and function in an ageing population
- Author:
- ANDREWS Gary R.
- Journal article citation:
- British Medical Journal, 24.3.01, 2001, pp.728-729.
- Publisher:
- British Medical Association
To ensure the health and well being of the growing numbers and proportion of older people will require greater effort in health promotion and disease prevention in old age. This article reviews evidence of effectiveness of strategies for promoting health and function, particularly the benefits of exercise in old age.