Towards an agenda of action and research for making health systems responsive to the needs of people with disabilities

IF 7.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet Regional Health: Western Pacific Pub Date : 2024-10-24 DOI:10.1016/j.lanwpc.2024.101225
Thi Vinh Nguyen, Sumit Kane
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Abstract

Ensuring health systems responsiveness is crucial for health equity and outcomes of all individuals, particularly disadvantaged groups such as people with disabilities. However, attention to and discussions on health system responsiveness for people with disabilities remains lacking. This viewpoint highlights the pervasive issues within health systems rooted in ableism and proposes an agenda to tackle ableism, aiming to make health systems responsive to the needs of people with disabilities. Their needs are complex and diverse, varying with the disability, its severity, progression, and intersection with other factors. Ableism creates significant obstacles to identifying and addressing their needs and expectations, damages provider–patient interactions, poses multiple challenges in healthcare, and impacts the overall responsiveness of the health system to the populations it is meant to serve. The proposed agenda outlines areas for action and research across six building blocks of health systems as a way forward to enhance the health system's responsiveness to the needs of people with disabilities.
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制定行动和研究议程,使卫生系统满足残疾人的需求
确保卫生系统的响应能力对于所有人,尤其是残疾人等弱势群体的健康公平和成果至关重要。然而,人们对卫生系统响应残疾人需求的关注和讨论仍然不足。这一观点强调了卫生系统中根植于残障主义的普遍问题,并提出了解决残障主义的议程,旨在使卫生系统对残障人士的需求做出回应。他们的需求复杂多样,因残疾、残疾的严重程度、残疾的发展以及与其他因素的交叉而异。残疾歧视给确定和满足他们的需求和期望造成了巨大障碍,损害了医疗服务提供者与患者之间的互动,给医疗保健带来了多重挑战,并影响了医疗系统对其服务人群的整体响应能力。拟议议程概述了医疗系统六个组成部分的行动和研究领域,以此作为提高医疗系统对残疾人需求的响应能力的前进方向。
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来源期刊
The Lancet Regional Health: Western Pacific
The Lancet Regional Health: Western Pacific Medicine-Pediatrics, Perinatology and Child Health
CiteScore
8.80
自引率
2.80%
发文量
305
审稿时长
11 weeks
期刊介绍: The Lancet Regional Health – Western Pacific, a gold open access journal, is an integral part of The Lancet's global initiative advocating for healthcare quality and access worldwide. It aims to advance clinical practice and health policy in the Western Pacific region, contributing to enhanced health outcomes. The journal publishes high-quality original research shedding light on clinical practice and health policy in the region. It also includes reviews, commentaries, and opinion pieces covering diverse regional health topics, such as infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, aging health, mental health, the health workforce and systems, and health policy.
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