An overview of systematic reviews to determine the impact of socio‐environmental factors on health outcomes of people with disabilities

Mitchell, Robert J.; Ryder, Tayhla; Matar, Katia; Lystad, Reidar P.; Clay‐Williams, Robyn; Braithwaite, Jeffrey

doi:10.1111/hsc.13665

Cited by 13 publications

(10 citation statements)

References 68 publications

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“…This necessary first step was required to identify the scale of the problem on the ground being borne by the LHN responsible for serving the health needs of this population. There is a growing appreciation that inequity to health service provision and accessibility are linked to socioeconomic disadvantage and have been demonstrated recently in the Australian context for people with disabilities (12), people experiencing long term unemployment (13) through to patients experiencing barriers to accessing digital health solutions offered via selected hospital clinics (14). The calls for targeted investment in interventions mainly focused to vulnerable populations may provide the necessary improvements public health overall (15).…”

Section: Discussionmentioning

confidence: 99%

Profiling health and socioeconomic disadvantage in the northern Adelaide Local Health Network population

Shoubridge,

Maddison,

Lynch

et al. 2024

Preprint

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ObjectiveWe describe aspects of social disadvantage in the northern Adelaide region, demonstrate how living with disadvantage impacts health outcomes to understand how the local health network can better serve this disadvantaged community.DesignUsing large scale, population-based data from the 2021 census we captured a snapshot of the disadvantage and health status of the community within the northern Adelaide region compared to the central and southern regions of Adelaide and other Australian capital cities.ResultsNorthern Adelaide is a region of greater relative disadvantage, as shown by both the low Index of Relative Socio-Economic Disadvantage score (993) compared to the national average (1000) and scores above the national average for the central and southern Adelaide regions. Social determinants that contribute to this relative disadvantage include the proportion of people with no or limited education (26%) and those living on constrained income sources (e.g. unemployment benefits / aged pension, 10% and 72%, respectively). The northern Adelaide region has higher burdens of long-term health conditions including but not limited to diabetes, heart disease, kidney disease and lung diseases. The comparatively high prevalence of obesity (37%) for people in the north of Adelaide were associated with low numbers of people with adequate fruit intake (48%) and the higher proportion of people who currently smoke (16%) and who undertake low or no levels of exercise (73%).ConclusionsSocial disadvantage in the northern Adelaide region is associated with poorer health outcomes and higher levels of health risk behaviour compared to the less disadvantaged central and southern regions of Adelaide. Adapting health care to recognise this association may help improve the health of people living with disadvantage.Summary boxThe known. The northern Adelaide region is a disadvantaged community.The new. Here we demonstrate the types and prevalence of social determinants of health and the health status of the northern Adelaide community compared to other regions of greater Adelaide and other greater Australian capital cities.The implications.This snapshot of the local social determinants of health sets a context for the health system to respond to the well-being needs of a community that are driven by some of the most adverse social determinants in Australia.

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Section: Discussionmentioning

confidence: 99%

Profiling health and socioeconomic disadvantage in the northern Adelaide Local Health Network population

Shoubridge,

Maddison,

Lynch

et al. 2024

Preprint

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“…Restricted access to healthcare of ID represents a serious social limitation ( 7 , 8 ). Various factors contribute to a limited access to healthcare for ID: stigmatization ( 9 ), comorbidities and difficulty in communication ( 10 ), misconceptions and negative attitudes toward ID ( 11 ), lack of knowledge or attention on part of healthcare providers ( 11 , 12 ), insufficient research activities ( 13 ), lack of integration of disability-specific content in medical curricula ( 14 ), difficulties regarding the transport of ID to medical facilities and associated high costs ( 7 , 11 ), insufficient flexibility of the medical care system that frequently overlooks specific needs of ID ( 12 ), poverty ( 11 ), barriers in access to medical facilities ( 15 ), and a lack of integration of the voices of ID in service design ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Access to healthcare for disabled individuals: An analysis of judgments of the European Court of Human Rights from an ethical perspective

Skuban-Eiseler

Orzechowski²,

Steger³

2023

Front. Public Health

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IntroductionIndividuals with disabilities (ID) suffer from restricted access to healthcare. This contributes to their poorer health status and constitutes an ethical challenge. The aim of this research was to systematically analyze judgments of the European Court of Human Rights (ECtHR) to illustrate examples of restricted access to healthcare for ID.MethodsThrough a search in the ECtHR's database we identified judgments dealing with access to healthcare for ID. The search resulted in n = 329 judgments, of which n = 55 were included in the analysis. A descriptive statistic was performed on Articles of the European Convention on Human Rights and violation of these articles. Qualitative thematic analysis was conducted to group the judgments in thematic categories.ResultsMost applications were filed against Russia (n = 23), followed by Poland (n = 8) and Ukraine (n = 7). The youngest applicant was 18, the oldest 72 years old. An overwhelming majority of cases dealt with disabled prisoners. Most of the judgments involved Article 14 and Article 8. We identified seven partially overlapping categories representing thematic patterns in the analyzed judgments.DiscussionAny restriction of access to healthcare can be considered a violation of human rights. However, the results show a relatively low total number of judgments dealing with limited access to healthcare for ID. This could be a further confirmation of the fact that ID still experience too little attention in our societies. Especially in the context of detention, ID is restricted from receiving the healthcare they require. Indirect ways of a restricted access to healthcare should not be overseen.

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“…2 The experience of disability is diverse and affected by multiple socioenvironmental factors, including care provided by healthcare services. 3 General practitioners (GPs) are important mainstream healthcare providers for the management, treatment and prevention of health complications. 4 As GPs are often the first point of contact with the healthcare system, they play a critical role in connecting patients with a wider healthcare team and developing holistic treatment plans to manage ongoing health conditions.…”

Section: Introductionmentioning

confidence: 99%

“…Disability refers to the experience of having an impairment (ie, physical, intellectual, cognitive, neurological, visual, hearing or psychosocial) that occurs due to a disease or medical condition and often results in a limitation in activities or a restriction in participation when interacting with their environment 2. The experience of disability is diverse and affected by multiple socioenvironmental factors, including care provided by healthcare services 3. General practitioners (GPs) are important mainstream healthcare providers for the management, treatment and prevention of health complications 4.…”

Section: Introductionmentioning

confidence: 99%

Primary healthcare needs and service utilisation of people with disability: a data linkage protocol

Douglas

Winkler

McLeod³

et al. 2023

BMJ Open

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IntroductionGeneral practitioners (GPs) play a crucial role in the early management and treatment of the comorbidities and complications experienced by people with disability. However, GPs experience multiple constraints, including limited time and disability-related expertise. Knowledge gaps around the health needs of people with disability as well as the frequency and extent of their engagement with GPs mean evidence to inform practice is limited. Using a linked dataset, this project aims to enhance the knowledge of the GP workforce by describing the health needs of people with disability.Methods and analysisThis project is a retrospective cohort study using general practice health records from the eastern Melbourne region in Victoria, Australia. The research uses Eastern Melbourne Primary Health Network (EMPHN)-owned de-identified primary care data from Outcome Health’s POpulation Level Analysis and Reporting Tool (POLAR). The EMPHN POLAR GP health records have been linked with National Disability Insurance Scheme (NDIS) data. Data analysis will involve comparisons across disability groups and the rest of the population to explore utilisation (eg, frequency of visits), clinical and preventative care (eg, cancer screening, blood pressure readings) and health needs (eg, health conditions, medications). Initial analyses will focus on NDIS participants as a whole and NDIS participants whose condition is either an acquired brain injury, stroke, spinal cord injury, multiple sclerosis or cerebral palsy, as classified by the NDIS.Ethics and disseminationEthics approval was obtained from the Eastern Health Human Research Ethics Committee (E20/001/58261), and approval for the general collection, storage and transfer of data was from the Royal Australian College of General Practitioners National Research Ethics and Evaluation Committee (protocol ID: 17-088). Dissemination mechanisms will include the engagement of stakeholders through reference groups and steering committees, as well as the production of research translation resources in parallel with peer-reviewed publications and conference presentations.

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An overview of systematic reviews to determine the impact of socio‐environmental factors on health outcomes of people with disabilities

Cited by 13 publications

References 68 publications

Profiling health and socioeconomic disadvantage in the northern Adelaide Local Health Network population

Profiling health and socioeconomic disadvantage in the northern Adelaide Local Health Network population

Access to healthcare for disabled individuals: An analysis of judgments of the European Court of Human Rights from an ethical perspective

Primary healthcare needs and service utilisation of people with disability: a data linkage protocol

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