Inequalities in access to healthcare for people with disabilities in Chile: the limits of universal health coverage

Article English OPEN
Rotarou, Elena S. ; Sakellariou, Dikaios (2017)

We analysed cross-sectional data collected as part of the National Socioeconomic Characterisation Survey (2013) in Chile, in order to explore if there are differences in access to healthcare between adult Chileans with and without disability. The study included 7,459 Chilean adults with disability and 68,695 people without disability. Logistic regressions were performed in order to determine the adjusted odds ratios for the associated variables. We found that despite universal health coverage, Chileans with disabilities are more likely to report worse access to healthcare, even when controlling for socioeconomic and demographic variables, including age, gender, and income. Specifically, they are more likely to face greater difficulty arriving at a health facility, obtaining a doctor’s appointment, being attended to in a health facility, paying for treatment due to cost, and obtaining necessary medicine. Both people with and without disability are more likely to face difficulties in accessing health services if they are affiliated with the public health provider, an indication of the economic factors at play in accessing healthcare. This study shows that universal health coverage does not always lead to accessibility of health services and underlines the disadvantaged position of disabled people in Chile in accessing health services. While efforts have been made recently to improve equity in healthcare access, disability in Chile poses an additional burden on people’s access to healthcare, emphasising the necessity for policy to address this perpetual cycle of disadvantage for disabled people.
  • References (62)
    62 references, page 1 of 7

    AIHW. (2015). Access to health services by Australians with disability 2012. AIHW Bulletin No. 129. Cat. No. AUS 191. Canberra: Author.

    Angus, J., Seto, L., Barry, N., Cechetto, N., Chandani, S., Devaney, J., Fernando, S., Muraca, L., & Odette, F. (2012). Access to cancer screening for women with mobility disabilities. Journal of Cancer Education, 27, 75-82. doi:10.1007/s13187- 011-0273-4

    Araya, R., Rojas, G., Fritsch, R., Frank, R., & Lewis, G. (2006). Inequities in mental health care after health care system reform in Chile. American Journal of Public Health, 96, 109-113.

    Badu, E., Agyei-Baofur, P., & Opoku, M. P. ( 2016). Access barriers to health care among people with disabilities in the Kumasi Metropolis of Ghana. Canadian Journal of Disability Studies, 5, 131-151.

    Barrera, P. O., & Fritz, M. R. (2009). Integración laboral de personas con discapacidad física [Labour integration for people with physical disability] (Thesis for the title of Social Assistant). University of Concepción, Concepción, Chile.

    Bell, D., & Heitmueller, A. (2009). The Disability Discrimination Act in the UK: Helping or hindering employment among the disabled? Journal of Health Economics, 28, 465-480. doi:10.1016/j.jhealeco.2008.10.006

    Beresford, P. (1996). Poverty and Disabled People: Challenging dominant debates and policies. Disability & Society, 11, 553-568. doi:10.1080/09687599627598

    Bossert, T. J., & Leisewitz, T. (2016). Innovation and change in the Chilean health system. New England Journal of Medicine, 374, 1-5. doi:10.1056/NEJMp1514202

    Braithwaite, J., & Mont, D. (2009). Disability and poverty: A survey of World Bank Poverty Assessments and implications. ALTER, European Journal of Disability Research, 3, 219-232. doi:10.1016/j.alter.2008.10.002

    Cabieses, B., Tunstall, H., & Pickett, K. E. (2010). Social determinants of disability among the immigrant population in Chile. Journal of Epidemiology and Community Health, 64, A58-A59. doi:10.1136/jech.2010.120477.64

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    60
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Online Research @ Cardiff - IRUS-UK 0 60
Share - Bookmark