Perception of physical rehabilitation center users about accessibility barriers and urban mobility.
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v15.11945Keywords:
Rehabilitation centers, Mobility limitation, Social discrimination, Barriers to access of health services, Disabled personAbstract
SUMMARY
Objective: To understand the perception of users of a physical rehabilitation program about their experiences in facing barriers to accessibility and urban mobility to attend consultations at a Specialized Rehabilitation Center. Method: Descriptive study, qualitative approach, carried out in 2019, in the Metropolitan Region I of Rio de Janeiro, Brazil. Data collected through semi-structured interviews, analyzed in the light of content analysis, thematic approach. Results: From the analysis, four categories emerged that showed repeated challenging experiences in the course of their residences for scheduling in the rehabilitation program, facing urban mobility environments unsuitable for the circulation of people with some type of disability or reduced mobility. Final Considerations: Participants experience embarrassing situations that make them feel powerless, unmotivated, frustrated and with low self-esteem, requiring rehabilitation teams to adopt welcoming strategies for care so that they do not compromise the achievement of goals planned in the rehabilitation program.
Downloads
References
REFERÊNCIAS
World Health Organization. (WHO). WHO global strategy on people-centred and integrated health services. [Internet]. 2015. [cited 2019 jul 11]. Available from: https://apps.who.int/iris/bitstream/handle/10665/155002/WHO_HIS_SDS_2015.6_eng.pdf
Harrison JAK, Thomson R, Banda HT, Mbera GB, Gregorius S, Stenberg B, Marshall T. Access to health care for people with disabilities in rural Malawi: what are the barriers? BMC Public Health. [Internet]. 2020 [cited 2022 fev 18]. 20(1):833. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268500/
Giraldo-Rodríguez L, Mino-León D, Murillo-González JC, Agudelo-Botero M. Factors associated with environmental barriers of people with disabilities in Mexico. Rev. Saúde Pública. [Internet]. 2019 [cited 2022 jan 26]; 53: 27. Available from: http://www.scielo.br/pdf/rsp/v53/0034-8910-rsp-53-27.pdf
Cruz VV, Silva HF, Pinto EG, Figueiredo NMA, Sento Sé, AC, Fernandes EM, Machado WCA. Accessibility Barriers For People With Disabilities Or Reduced Mobility: An Integrative Review. Research, Society and Development. [Internet]. 2020 [cited 2021 mar 26]. 9(4):e168943053. Available from: http://dx.doi.org/10.33448/rsd-v9i4.3053
Molina Amaya, E., Jiménez Dilworth, A., Castellanos Dubón, W., Flores, S., Maradiaga, E., Gonzáles, M., & Alger, J. Barreras arquitectónicas en establecimientos sanitarios contribuyen a la discapacidad en Honduras. Revista Médica Hondureña, [Internet]. 2020 [citado 2022 fevr 26].88(2), 70–76. Disponible en: https://doi.org/10.5377/rmh.v88i2.11486
Botticello AL, Tulsky D, Heinemann A, Charlifue S, Kalpakjian C, Slavin M et al. Contextualizing Disability: A Cross-sectional Analysis of the Association between the Built Environmental and Functioning among People Living with Spinal Cord Injury in the United States. Spinal Cord. [Internet]. 2019 [cited 2021 dec 18]. 57(2): 100-09. Available from: https://doi.org/10.1038/s41393-018-0186-8
Vianna V, da Silva Pereira RS, Almeida de Figueiredo NM, Coutinho Sento Sé A, Mascarenhas Fernandes E, Alves Machado WC. Barreiras de acessibilidade e mobilidade urbana para atendimento em centro especializado de reabilitação física. Rev Port Enf Reab [Internet]. 2021 [acesso em 16 de fevereiro de 2022]. 4(2): 16-23. Disponível em: https://doi.org/10.33194/rper.2021.190
Belzunegui-Eraso A, Pastor-Gonsález I, Puig-Andreu X, Valls-Fonayet. Risk of Exclusion in People with Disabilities in Spain: Determinants of Health and Poverty. Int J Environ Res Public Health. [Internet]. 2018 [cited 2021 dec 19]; 15(10): 2019. Available from: https://doi.org/10.3390/ijerph15102129
Smith EM, Sakakibara BM, Miller WC. A review of factors influencing participation in social and Community activities for wheelchair users. Disabil Rehabil Assist Technol. [Internet]. 2016 [cited 2021 dec 18]; 11(5): 361-74. Available from: https://doi.org/10.3109/17483107.2014.989420
Kuper H, Hanefeld J. Debate: can we achieve universal health coverage without a focus on disability? BMC Health Serv Res. [Internet]. 2018 [cited 2022 jan 08]; 18: 738. Available from: https://doi.org/10.1186/s12913-018-3547-2
Valenzuela-Fuenagan PA, Mejia-Ortega LM. Acceso a los servicios de salud de las personas en situación de discapacidad: el caso de una Fundación en Nariño (Colombia), 2017. Rev. Fac. Nac. Salud Pública. [Internet]. 2021 [citado 2021 dec 21]. 39(1): e336663. Disponible en: https://doi.org/10.17533/udea.rfnsp.e336663
Yarfi C, Ashigbi EYK, Nakua EK. Wheelchair accessibility to public buildings in the Kumasi metropolis. Ghana. Afr J Disabil. [Internet]. 2017 [cited 2021 dec 14]; 6: 341. Available from: https://doi.org/10.4102/ajod.v6i0.341
Maffesoli M. No fundo das aparências. Petrópolis: Editora Vozes; 2010.
BRASIL. Lei nº 12.587, de 3 de janeiro de 2012. Institui as diretrizes da Política Nacional de Mobilidade Urbana; [Internet]. Brasília: Diário oficial da União. 2012. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2012/lei/l12587.htm
Machado WCA, Pereira JS, Schoeller SD, Júlio LC, Martins MMFPS, Figueiredo NMA. Comprehensiveness In The Care Network Regarding The Care Of The Disabled Person. Texto & contexto enferm. [Internet]. 2018 [cited 2021 dec 10]; 27(3): e4480016. Available from: https://doi.org/10.1590/0104-07072018004480016
Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesq Qual. [Internet], 2017 [acesso em 21 de dezembro de 2019]. 5(7):1-12. Disponível em: https://editora.sepq.org.br/rpq/article/view/82/59
Minayo MC. O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec; 2015.
Toro ML, Eke C, Pearlman J. The impacto f the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia. BMC Health Serv Res. [Internet]. 2016 [cited 2021 dec 18]; 16:26. Available from: https://doi.org/10.1186/s12913-016-1268-y
Kurtyka-Marcak I, Heldak M, Przybyla K. The Actual Demand for the Elimination of Architectural Barriers among Senior Citziens in Poland. Int J Environ Res Public Health. [Internet]. 2019 [cited 2022 jan 18]; 16(4): 2601. Available from: https://doi.org/10.3390/ijerph16142601
Mathias K, Pant H, Marella M, Singh L, Murthy G, Grills N. Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: a cross-sectional study. BMJ Open. [Internet]. 2018 [cited 2022 feb 18]; 8(2): e019443. Available from: https://doi.org/10.1136/bmjopen-2017-019443
Bernabe-Ortiz A, Diez-Canseco F, Vasquez A, Kuper H, Walsham M, Blanchel K. Inclusion of persons with disabilities in systems of social protection: a population-based survey and case-control study in Peru. BMJ Open. [Internet]. 2016 [cited 2021 dec 12]; 6(8): e011300. Available from: https://doi.org/10.1136/bmjopen-2016-011300
Eide AH, Dyrstad K, Munthali A, Van R, Braathen SH, Halvorsen T, Persendt F et al. Combining survey data, GIS and qualitative interviews in the analysis of health service access for persons with disabilities. BMC Int Health Hum Rights. [Internet]. 2018 [cited 2022 jan 26]; 18(1): 26. Available from: http://dx.doi.org/10.1186/s12914-018-0166-2
Smith EM, Giesbrecht EM, Mortenson WB, Miller WC. Prevalence of Wheelchair and Scooter Use Among Community-Dwelling Canadians. Phys Ther. [Internet]. 2016 [cited 2021 dec 20];96(8):1135‐1142. Available from: https://doi.org/10.2522/ptj.20150574
Alvarez A, Machado WCA, Teixeira ML, Castelo Branco EM, Figueiredo NMA. Body image in paraplegics: coping with changes from the perspective of people with spinal cord injury. Revista Enfermagem UERJ. [Internet]. 2016 [cited 2021 dec 14]; 24(1): e16125. Available from: http://dx.doi.org/10.12957/reuerj.2016.16125
Abdi K, Arab M, Rashidian A, Kamali M, Khankeh HR, Farahani FK. Exploring Barriers of the System to Rehabilitation Services for People with Disabilities in Iran: A Qualitative Study. Electron Physician. [Internet]. 2015 [cited 2022 jan 19]; 7(7): 1476-85. Available from: https://doi.org/10.19082/1476
Sakellariou D, Rotarou ES. Access to healthcare for men and women with disabilities in UK: secondary analysis of cross-sectional data. BMJ Open. [Internet]. 2017 [cited 2021 dec 22]; 7(8): e016614. Available from: https://doi.org/10.1136/bmjopen-2017-016614
UN.Convention on the Rights of Persons with Disabilities. United Nations; New York, NY, USA: 2006. [cited 2022 mar 02] Available from: https://doi.org/10.5377/rmh.v88i2.11486
Tangcharoensathien V, Witthayapipopsakul W, Viriyathorn S, Patcharanarumol W. Improving access to assistive technologies: challenges and solutions in low- and middle-income countries. WHO South East Asia J Public Health. [Internet]. 2018 [cited 2021 dec 22];7(2):84–89. Available from: https://doi.org/10.4103/2224-3151.239419
Dias C da S, Alfieri FM, Ayres DVM, Battistella LR. Efeitos de programa de reabilitação em regime de internação em paciente amputado transfemoral unilateral: relato de caso. Acta Fisiátr. [Internet]. 2021 [acesso em 29 março de 2022];28(4):285-9. Disponível em: https://doi.org/10.11606/issn.2317-0190.v28i4a192612
Gao F, Foster M, Liu Y. Disability concentration and access to rehabilitation services: a pilot spatial assessment applying geographic information system analysis. Disabil Rehabil. [Internet]. 2019 [cited 2022 mar 02];41(20):2468-2476. Available from: https://doi.org/10.1080/09638288.2018.1468931
Published
Versions
- 2023-06-30 (4)
- 2023-05-26 (3)
- 2023-05-26 (2)
- 2023-05-23 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista de Pesquisa Cuidado é Fundamental Online
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
TRANSFER AGREEMENT COPYRIGHT I transfer copyright of the article to the Journal of Care Survey is Fundamental - Online - RPCF, so it is accepted due to electronic publishing. The copyright includes the right to reproduce in whole or in part by any means, distributing that article, including figures, photographs, and any translations. The author can also print and distribute copies of your article, stating that since the rights belong to RPCF. I declare that this manuscript is original and has not been submitted for publication, in whole or in part to other online journals or not, so BMMC in the Annals of scientific events or book chapters.