We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Barriers to the Accessibility and Continuity of Health-Care Services in People with Multiple Sclerosis: A Literature Review.
- Authors
Chungyi Chiu; Bishop, Malachy; Pionke, J. J.; Strauser, David; Santens, Ryan L.
- Abstract
Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using healthcare services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs
- Subjects
CINAHL database; COMMUNICATION; CONTINUUM of care; DRUGS; HEALTH; HEALTH services accessibility; PSYCHOLOGY information storage &; retrieval systems; HEALTH insurance; MEDICAL appointments; MEDICAL care; MEDLINE; MULTIPLE sclerosis; ONLINE information services; PATIENT compliance; RESEARCH funding; SYSTEMATIC reviews; BIBLIOGRAPHIC databases; PATIENTS' attitudes
- Publication
International Journal of MS Care, 2017, Vol 19, Issue 6, p313
- ISSN
1537-2073
- Publication type
Article
- DOI
10.7224/1537-2073.2016-016