Equity and access to health care for women with learning disabilities

1998 ◽  
Vol 7 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Alan Parrish ◽  
Anne Markwick
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Access To Health Care ◽  
Equity And Access ◽  
Access To Health

Americans’ View of the Impact of COVID-19: Perspectives on Racial Impacts and Equity

2021 ◽  
Author(s):  
Katherine Carman ◽  
Anita Chandra ◽  
Carolyn Miller ◽  
Christopher Nelson ◽  
Jhacova Williams
Keyword(s):  
Health Care ◽  
African Americans ◽  
Access To Health Care ◽  
The Public ◽  
Equity And Access ◽  
Access To Health ◽  
The Face ◽  
Nationally Representative ◽  
The Impact ◽  
Over Time

Abstract Context: The COVID-19 pandemic has had a disparate effect on African Americans and Latino groups. But it is unknown how aware the public is of these differences, and how the pandemic has changed perceptions of equity and access to health care. Methods: We use panel data from nationally representative surveys fielded to the same respondents in 2018 and 2020 to assess views and changes in views over time. Findings: We found that awareness of inequity is highest among Non-Hispanic Black respondents and higher income and higher educated groups, and that there have been only small changes in perceptions of inequity over time. However, there have been significant changes in views of the government’s obligation ensure access to health care. Conclusions: Even in the face of a deadly pandemic, one that has killed disproportionately more African Americans and Latinos, many in the U.S. continue not to recognize that there are inequities in access to health care and the impact of COVID-19 on certain groups. But policies to address inequity may be shifting. We will continue to follow these respondents to see whether changes in attitudes endure over time or dissipate.

Equity and Health in Primary Health Care

2000 ◽  
Vol 6 (4) ◽  
pp. 54
Author(s):  
Alison McClelland
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Good Health ◽  
Quality Health Care ◽  
Factors Affecting ◽  
Equity And Access ◽  
Cost Of Health Care ◽  
Access To Health ◽  
Quality Health ◽  
The Cost

Health is one of the most significant factors affecting people's present enjoyment and participation in life as well as future wellbeing. There is a special community concern about equity and health. This concern has at least three facets. The first facet is equity and health status. Although it is unrealistic to expect equal health outcomes amongst individuals, there is an equity problem if people's socio-economic backgrounds have a significant impact on capacity to have good health. The second aspect is equity and access to health care. As access to health care can impact on the suffering connected with poor health as well as influencing the prospect of good health, there is an equity concern if people's backgrounds influence their ability to access appropriate, quality health care according to need. The third aspect concerns the cost and the financing of health care. We are concerned if the cost of health care acts as a barrier to access according to need. There is also a problem if the cost of health care substantially undermines people's capacity to have a decent standard of living by reducing disposable incomes, especially for those who are on low incomes and finding it difficult 'to make ends meet'.

scholarly journals Access to health care for people with learning disabilities in the UK: mapping the issues and reviewing the evidence

2005 ◽  
Vol 10 (3) ◽  
pp. 173-182 ◽  
Author(s):  
Alison Alborz ◽  
Rosalind McNally ◽  
Caroline Glendinning
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Health Services ◽  
Access To Health Care ◽  
Mental Health Problems ◽  
Full Range ◽  
Communication Aid ◽  
Access To Health ◽  
Wide Range ◽  
Improve Access

Objectives: People with learning disabilities are more prone to a wide range of additional physical and mental health problems than the general population. Our aim was to map the issues and review the evidence on access to health care for these patients. The review sought to identify theory, evidence and gaps in knowledge relating to the help-seeking behaviour of people with learning disabilities and their carers, barriers and problems they experience accessing the full range of health services, and practical and effective interventions aiming to improve access to health care. Methods: A three-strand approach was adopted, involving searches of electronic databases, a consultation exercise and a mail shot to researchers and learning disability health professionals. Evidence relevant to our model of 'access' was evaluated for scientific rigour and selected papers synthesized. Results: Overall, a lack of rigorous research in this area was noted and significant gaps in the evidence base were apparent. Evidence was identified on the difficulties in identifying health needs among people with learning disabilities and the potentially empowering or obstructive influence of third parties on access to health care. Barriers to access identified within health services included problems with communication, inadequate facilities, rigid procedures and lack of appropriate interpersonal skills among mainstream health care professionals in caring for these patients. A number of innovations designed to improve access were identified, including a communication aid, a prompt card to support general practitioners, health check programmes and walk-in clinics. Conclusion: There are important gaps in the knowledge base on access to health care for this group. While these need to be addressed, developing strategies to overcome identified barriers should be a priority, along with fuller evaluation of existing innovations.

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