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Cited by 213Disability Rights and RepresentationMedical Practices and RehabilitationInclusion and Disability in Education and Sport

Health equity for persons with disabilities: a global scoping review on barriers and interventions in healthcare services

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Gréaux, Mélanie, Moro, Maria Francesca, Kamenov, Kaloyan, Russell, Amy M., Barrett, Darryl, Cieza, Alarcos·2023·International Journal for Equity in Health
DOI 10.1186/s12939-023-02035-wPMC PMC10644565
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Abstract

Background: Persons with disabilities experience health inequities in terms of increased mortality, morbidity, and limitations in functioning when compared to the rest of the population. Many of the poor health outcomes experienced by persons with disabilities cannot be explained by the underlying health condition or impairment, but are health inequities driven by unfair societal and health system factors. A synthesis of the global evidence is needed to identify the factors that hinder equitable access to healthcare services for persons with disabilities, and the interventions to remove these barriers and promote disability inclusion. Methods: We conducted a scoping review following the methodological framework proposed by Arksey and O’Malley, Int J Soc Res Methodol 8:19–32. We searched two scholarly databases, namely MEDLINE (Ovid) and Web of Science, the websites of Organizations of Persons with Disabilities and governments, and reviewed evidence shared during WHO-led consultations on the topic of health equity for persons with disabilities. We included articles published after 2011 with no restriction to geographical location, the type of underlying impairments or healthcare services. A charting form was developed and used to extract the relevant information for each included article. Results: Of 11,884 articles identified in the search, we included 182 articles in this review. The majority of sources originated from high-income countries. Barriers were identified worldwide across different levels of the health system (such as healthcare costs, untrained healthcare workforces, issues of inclusive and coordinated services delivery), and through wider contributing factors of health inequities that expand beyond the health system (such as societal stigma or health literacy). However, the interventions to promote equitable access to healthcare services for persons with disabilities were not readily mapped onto those needs, their sources of funding and projected sustainability were often unclear, and few offered targeted approaches to address issues faced by marginalized groups of persons with disabilities with intersectional identities. Conclusion: Persons with disabilities continue to face considerable barriers when accessing healthcare services, which negatively affects their chances of achieving their highest attainable standard of health. It is encouraging to note the increasing evidence on interventions targeting equitable access to healthcare services, but they remain too few and sparce to meet the populations’ needs. Profound systemic changes and action-oriented strategies are warranted to promote health equity for persons with disabilities, and advance global health priorities.

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  • Persons living with disabilities are disproportionately affected by infectious diseases and are more vulnerable to AMR due to factors such as limited access to healthcare services, barriers to information and education and often, higher rates of comorbidities.

    “Persons living with disabilities are disproportionately affected by infectious diseases46 and are more vulnerable to AMR due to factors such as limited access to healthcare services, barriers to information and education and often, higher rates of comorbidities.”

    From Public-targeted interventions addressing antimicrobial resistance and antibiotic use in Sub-Saharan Africa: a scoping review (2025) · cites this paper as [46]

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Cited by

Sorted by citations

Authors
Gréaux, M., Moro, M. F., Kamenov, K., Russell, A. M., Barrett, D., & Cieza, A.
Affiliations
  • University of Cambridge (GB)
  • Columbia University (US)
  • World Health Organization (CH)
  • University of Leeds (GB)
Corresponding author
Gréaux, Mélanie
ORCID
Venue
International Journal for Equity in Health
Publisher
Springer Science and Business Media LLC
Published
2023-11-13
Volume
22
Issue
1
Pages
236-236
ISSN
1475-9276 (ISSN-L)
DOI
10.1186/s12939-023-02035-w
PMC
PMC10644565
OpenAlex
W4388623626
Cited by
213
References
9
Citations by year
2026: 95 · 2025: 89 · 2024: 29
FWCI
8.33
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal for Equity in Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion, other-oa)
  • Apollo (University of Cambridge) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Wellcome Trust (219754/Z/19/Z)
Topics
  • Social Sciences › Safety Research › Disability Rights and Representation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Social Sciences › Sociology and Political Science › Inclusion and Disability in Education and Sport
Keywords
health equity, people with disabilities, barriers to health care access, disability inclusion, health interventions, health system inequities, stigma, health literacy, healthcare workforce training, intersectionality, highest attainable standard of health, inclusive healthcare
MeSH terms
Health Equity, Persons with Disabilities, Disabled Persons, Health Promotion, Health Services Accessibility, Humans, Health Care Costs

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