Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study
Background Globally, people with disabilities face difficulties accessing care, resulting in worse health outcomes and higher healthcare costs. However, information regarding access to healthcare services for stroke survivors in developing countries is scarce. Objective To identify predictors of acc...
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| Veröffentlicht in: | Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2023-07, Vol.28 (3), p.e2000-n/a |
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| creator | Silva, Soraia Micaela Dutra, Tamires Mariana de Freitas Vieira Braga, Marcela Aline Fernandes Silva, Edvânia Andrade de Moura Faria‐Fortini, Iza Faria, Christina Danielli Coelho de Morais |
| description | Background
Globally, people with disabilities face difficulties accessing care, resulting in worse health outcomes and higher healthcare costs. However, information regarding access to healthcare services for stroke survivors in developing countries is scarce.
Objective
To identify predictors of access to healthcare services within 1 month of hospital discharge in a developing country (Brazil).
Methods
For six months, individuals from a stroke unit, aged ≥20 years, after their first stroke and without previous disability, were included and evaluated at hospital discharge for socio‐demographic (sex, age, education, and socio‐economic level) and clinical‐functional (severity of stroke and level of disability) characteristics. The number and type of referrals to healthcare services provided by hospital staff were also recorded. One month after hospital discharge, data regarding access to healthcare services obtained by the subjects were collected. The Wilcoxon test was used to compare the number of referrals and access to healthcare services obtained by the subjects. To identify the predictors of access, a binary logistic regression was used (α = 5%).
Results
A total of 78 individuals were evaluated one month after hospital discharge, all with at least one referral. The total access to healthcare services within 1 month of stroke was significantly lower than the total number of referrals (p |
| doi_str_mv | 10.1002/pri.2000 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2786813469</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2786813469</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3210-7faaa14b3a7253f5c1608c1d351ace7b09e1f02bf6ceafdbaf8833cd386587bc3</originalsourceid><addsrcrecordid>eNp1kMtKAzEUQIMotlbBL5As3Yzm0cmk7krxBQVFdD1kMjc2Op3UJNPSrV_it_hlpj5XrpLcHA6Xg9AhJSeUEHa68PaEEUK2UJ8OC5oxKfLtdOe5zBgTRQ_thfCUACkKsot6XIxoPhK8j15vPdRWR-cDdgYrrSEEHB2egWriTCsPOIBf2jTHKxtntsX0_W3u2jjDykTwOETvngGnD4VrWELjFrZ9xNp1bfTrMzzGjWsfbexq26oGL7wLC9DRLpM5Ddf7aMeoJsDB9zlADxfn95OrbHpzeT0ZTzPNGSVZYZRSdFhxVbCcm1xTQaSmNc-p0lBUZATUEFYZoUGZulJGSs51zVMLWVSaD9Dxlzdt8NJBiOXcBg1No1pwXShZIYWkfChGf6hOywYPpkyF58qvS0rKTfHNu9wUT-jRt7Wr5lD_gj-JE5B9ASvbwPpfUXl7d_0p_AAQiY4i</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2786813469</pqid></control><display><type>article</type><title>Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Silva, Soraia Micaela ; Dutra, Tamires Mariana de Freitas Vieira ; Braga, Marcela Aline Fernandes ; Silva, Edvânia Andrade de Moura ; Faria‐Fortini, Iza ; Faria, Christina Danielli Coelho de Morais</creator><creatorcontrib>Silva, Soraia Micaela ; Dutra, Tamires Mariana de Freitas Vieira ; Braga, Marcela Aline Fernandes ; Silva, Edvânia Andrade de Moura ; Faria‐Fortini, Iza ; Faria, Christina Danielli Coelho de Morais</creatorcontrib><description>Background
Globally, people with disabilities face difficulties accessing care, resulting in worse health outcomes and higher healthcare costs. However, information regarding access to healthcare services for stroke survivors in developing countries is scarce.
Objective
To identify predictors of access to healthcare services within 1 month of hospital discharge in a developing country (Brazil).
Methods
For six months, individuals from a stroke unit, aged ≥20 years, after their first stroke and without previous disability, were included and evaluated at hospital discharge for socio‐demographic (sex, age, education, and socio‐economic level) and clinical‐functional (severity of stroke and level of disability) characteristics. The number and type of referrals to healthcare services provided by hospital staff were also recorded. One month after hospital discharge, data regarding access to healthcare services obtained by the subjects were collected. The Wilcoxon test was used to compare the number of referrals and access to healthcare services obtained by the subjects. To identify the predictors of access, a binary logistic regression was used (α = 5%).
Results
A total of 78 individuals were evaluated one month after hospital discharge, all with at least one referral. The total access to healthcare services within 1 month of stroke was significantly lower than the total number of referrals (p < 0.001). Sex (odds ratios (OR) = 18.92; p = 0.01) and educational level (OR = 1.48; p = 0.04) were significant predictors of access.
Conclusions
Being female and having low education levels were predictors of access to healthcare services within 1 month of stroke in a developing country. In addition, the access was below expectations, compromising the integrality of care and national and international recommendations, which is a concern given the need for early care to obtain better results in health and functional outcomes.</description><identifier>ISSN: 1358-2267</identifier><identifier>EISSN: 1471-2865</identifier><identifier>DOI: 10.1002/pri.2000</identifier><identifier>PMID: 36915963</identifier><language>eng</language><publisher>United States</publisher><subject>disability ; health ; healthcare services ; stroke ; stroke rehabilitation</subject><ispartof>Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2023-07, Vol.28 (3), p.e2000-n/a</ispartof><rights>2023 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3210-7faaa14b3a7253f5c1608c1d351ace7b09e1f02bf6ceafdbaf8833cd386587bc3</citedby><cites>FETCH-LOGICAL-c3210-7faaa14b3a7253f5c1608c1d351ace7b09e1f02bf6ceafdbaf8833cd386587bc3</cites><orcidid>0000-0001-6887-0895 ; 0000-0002-3364-8087 ; 0000-0001-9879-0298 ; 0000-0002-5929-3253 ; 0000-0001-9784-9729 ; 0000-0002-0104-1547</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpri.2000$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpri.2000$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36915963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silva, Soraia Micaela</creatorcontrib><creatorcontrib>Dutra, Tamires Mariana de Freitas Vieira</creatorcontrib><creatorcontrib>Braga, Marcela Aline Fernandes</creatorcontrib><creatorcontrib>Silva, Edvânia Andrade de Moura</creatorcontrib><creatorcontrib>Faria‐Fortini, Iza</creatorcontrib><creatorcontrib>Faria, Christina Danielli Coelho de Morais</creatorcontrib><title>Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study</title><title>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</title><addtitle>Physiother Res Int</addtitle><description>Background
Globally, people with disabilities face difficulties accessing care, resulting in worse health outcomes and higher healthcare costs. However, information regarding access to healthcare services for stroke survivors in developing countries is scarce.
Objective
To identify predictors of access to healthcare services within 1 month of hospital discharge in a developing country (Brazil).
Methods
For six months, individuals from a stroke unit, aged ≥20 years, after their first stroke and without previous disability, were included and evaluated at hospital discharge for socio‐demographic (sex, age, education, and socio‐economic level) and clinical‐functional (severity of stroke and level of disability) characteristics. The number and type of referrals to healthcare services provided by hospital staff were also recorded. One month after hospital discharge, data regarding access to healthcare services obtained by the subjects were collected. The Wilcoxon test was used to compare the number of referrals and access to healthcare services obtained by the subjects. To identify the predictors of access, a binary logistic regression was used (α = 5%).
Results
A total of 78 individuals were evaluated one month after hospital discharge, all with at least one referral. The total access to healthcare services within 1 month of stroke was significantly lower than the total number of referrals (p < 0.001). Sex (odds ratios (OR) = 18.92; p = 0.01) and educational level (OR = 1.48; p = 0.04) were significant predictors of access.
Conclusions
Being female and having low education levels were predictors of access to healthcare services within 1 month of stroke in a developing country. In addition, the access was below expectations, compromising the integrality of care and national and international recommendations, which is a concern given the need for early care to obtain better results in health and functional outcomes.</description><subject>disability</subject><subject>health</subject><subject>healthcare services</subject><subject>stroke</subject><subject>stroke rehabilitation</subject><issn>1358-2267</issn><issn>1471-2865</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kMtKAzEUQIMotlbBL5As3Yzm0cmk7krxBQVFdD1kMjc2Op3UJNPSrV_it_hlpj5XrpLcHA6Xg9AhJSeUEHa68PaEEUK2UJ8OC5oxKfLtdOe5zBgTRQ_thfCUACkKsot6XIxoPhK8j15vPdRWR-cDdgYrrSEEHB2egWriTCsPOIBf2jTHKxtntsX0_W3u2jjDykTwOETvngGnD4VrWELjFrZ9xNp1bfTrMzzGjWsfbexq26oGL7wLC9DRLpM5Ddf7aMeoJsDB9zlADxfn95OrbHpzeT0ZTzPNGSVZYZRSdFhxVbCcm1xTQaSmNc-p0lBUZATUEFYZoUGZulJGSs51zVMLWVSaD9Dxlzdt8NJBiOXcBg1No1pwXShZIYWkfChGf6hOywYPpkyF58qvS0rKTfHNu9wUT-jRt7Wr5lD_gj-JE5B9ASvbwPpfUXl7d_0p_AAQiY4i</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Silva, Soraia Micaela</creator><creator>Dutra, Tamires Mariana de Freitas Vieira</creator><creator>Braga, Marcela Aline Fernandes</creator><creator>Silva, Edvânia Andrade de Moura</creator><creator>Faria‐Fortini, Iza</creator><creator>Faria, Christina Danielli Coelho de Morais</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6887-0895</orcidid><orcidid>https://orcid.org/0000-0002-3364-8087</orcidid><orcidid>https://orcid.org/0000-0001-9879-0298</orcidid><orcidid>https://orcid.org/0000-0002-5929-3253</orcidid><orcidid>https://orcid.org/0000-0001-9784-9729</orcidid><orcidid>https://orcid.org/0000-0002-0104-1547</orcidid></search><sort><creationdate>202307</creationdate><title>Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study</title><author>Silva, Soraia Micaela ; Dutra, Tamires Mariana de Freitas Vieira ; Braga, Marcela Aline Fernandes ; Silva, Edvânia Andrade de Moura ; Faria‐Fortini, Iza ; Faria, Christina Danielli Coelho de Morais</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3210-7faaa14b3a7253f5c1608c1d351ace7b09e1f02bf6ceafdbaf8833cd386587bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>disability</topic><topic>health</topic><topic>healthcare services</topic><topic>stroke</topic><topic>stroke rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, Soraia Micaela</creatorcontrib><creatorcontrib>Dutra, Tamires Mariana de Freitas Vieira</creatorcontrib><creatorcontrib>Braga, Marcela Aline Fernandes</creatorcontrib><creatorcontrib>Silva, Edvânia Andrade de Moura</creatorcontrib><creatorcontrib>Faria‐Fortini, Iza</creatorcontrib><creatorcontrib>Faria, Christina Danielli Coelho de Morais</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva, Soraia Micaela</au><au>Dutra, Tamires Mariana de Freitas Vieira</au><au>Braga, Marcela Aline Fernandes</au><au>Silva, Edvânia Andrade de Moura</au><au>Faria‐Fortini, Iza</au><au>Faria, Christina Danielli Coelho de Morais</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study</atitle><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle><addtitle>Physiother Res Int</addtitle><date>2023-07</date><risdate>2023</risdate><volume>28</volume><issue>3</issue><spage>e2000</spage><epage>n/a</epage><pages>e2000-n/a</pages><issn>1358-2267</issn><eissn>1471-2865</eissn><abstract>Background
Globally, people with disabilities face difficulties accessing care, resulting in worse health outcomes and higher healthcare costs. However, information regarding access to healthcare services for stroke survivors in developing countries is scarce.
Objective
To identify predictors of access to healthcare services within 1 month of hospital discharge in a developing country (Brazil).
Methods
For six months, individuals from a stroke unit, aged ≥20 years, after their first stroke and without previous disability, were included and evaluated at hospital discharge for socio‐demographic (sex, age, education, and socio‐economic level) and clinical‐functional (severity of stroke and level of disability) characteristics. The number and type of referrals to healthcare services provided by hospital staff were also recorded. One month after hospital discharge, data regarding access to healthcare services obtained by the subjects were collected. The Wilcoxon test was used to compare the number of referrals and access to healthcare services obtained by the subjects. To identify the predictors of access, a binary logistic regression was used (α = 5%).
Results
A total of 78 individuals were evaluated one month after hospital discharge, all with at least one referral. The total access to healthcare services within 1 month of stroke was significantly lower than the total number of referrals (p < 0.001). Sex (odds ratios (OR) = 18.92; p = 0.01) and educational level (OR = 1.48; p = 0.04) were significant predictors of access.
Conclusions
Being female and having low education levels were predictors of access to healthcare services within 1 month of stroke in a developing country. In addition, the access was below expectations, compromising the integrality of care and national and international recommendations, which is a concern given the need for early care to obtain better results in health and functional outcomes.</abstract><cop>United States</cop><pmid>36915963</pmid><doi>10.1002/pri.2000</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6887-0895</orcidid><orcidid>https://orcid.org/0000-0002-3364-8087</orcidid><orcidid>https://orcid.org/0000-0001-9879-0298</orcidid><orcidid>https://orcid.org/0000-0002-5929-3253</orcidid><orcidid>https://orcid.org/0000-0001-9784-9729</orcidid><orcidid>https://orcid.org/0000-0002-0104-1547</orcidid></addata></record> |
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| ispartof | Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2023-07, Vol.28 (3), p.e2000-n/a |
| issn | 1358-2267 1471-2865 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | disability health healthcare services stroke stroke rehabilitation |
| title | Predictors of access to healthcare services within 1 month after stroke in a developing country: A longitudinal prospective study |
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