Research priorities for health of people with disabilities: an expert opinion exercise

被引:100
作者
Tomlinson, Mark [1 ]
Swartz, Leslie [1 ]
Officer, Alana [2 ]
Chan, Kit Yee [4 ]
Rudan, Igor [5 ,6 ]
Saxena, Shekhar [3 ]
机构
[1] Univ Stellenbosch, Dept Psychol, ZA-7602 Matieland, South Africa
[2] WHO, Dept Violence & Injury Prevent & Disabil, CH-1211 Geneva, Switzerland
[3] WHO, Dept Mental Hlth & Substance Abuse, CH-1211 Geneva, Switzerland
[4] Univ Melbourne, Nossal Inst Global Hlth, Melbourne, Vic, Australia
[5] Univ Split, Sch Med, Croatian Ctr Global Hlth, Split, Croatia
[6] Univ Edinburgh, Sch Med, Ctr Populat Hlth Sci, Edinburgh, Midlothian, Scotland
关键词
RESEARCH INVESTMENTS; SETTING PRIORITIES; DIARRHEA; CARE;
D O I
10.1016/S0140-6736(09)61910-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
International evidence shows that people with disabilities have many unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor health. Inadequate specific information is available about the prevalence and patterns of health conditions of people with disabilities, effective interventions, and policy-relevant research about what works to improve health and functioning of people with disabilities. In view of the urgency of the issues at stake and scarcity of resources, research contributing to improvement of health of people with disabilities needs to be prioritised. We invited 82 stakeholders to list and score research options, with the priority-setting method of the Child Health and Nutrition Research Initiative. 83 research questions were assessed for answerability, applicability, sensitivity support within the context, and equity. The leading research priority was identification of barriers that people with disabilities have in accessing health services at different levels, and finding the best possible strategies to integrate their needs into primary health-care systems and ensure local delivery. Results showed that addressing specific impairments is secondary to ensuring that health systems provide adequately for all people with disabilities. Our findings are a call for urgent attention to the issue of access to appropriate health care for people with disabilities, especially in low-income and middle-income countries.
引用
收藏
页码:1857 / 1862
页数:6
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