Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Rotarou, Elena S.; Sakellariou, Dikaios (2017)
Publisher: Taylor & Francis (Routledge): STM, Behavioural Science and Public Health Titles
Languages: English
Types: Article
We analysed cross-sectional data collected as part of the National Socioeconomic Characterisation Survey (2013) in Chile, in order to explore if there are differences in access to healthcare between adult Chileans with and without disability. The study included 7,459 Chilean adults with disability and 68,695 people without disability. Logistic regressions were performed in order to determine the adjusted odds ratios for the associated variables. We found that despite universal health coverage, Chileans with disabilities are more likely to report worse access to healthcare, even when controlling for socioeconomic and demographic variables, including age, gender, and income. Specifically, they are more likely to face greater difficulty arriving at a health facility, obtaining a doctor’s appointment, being attended to in a health facility, paying for treatment due to cost, and obtaining necessary medicine. Both people with and without disability are more likely to face difficulties in accessing health services if they are affiliated with the public health provider, an indication of the economic factors at play in accessing healthcare. This study shows that universal health coverage does not always lead to accessibility of health services and underlines the disadvantaged position of disabled people in Chile in accessing health services. While efforts have been made recently to improve equity in healthcare access, disability in Chile poses an additional burden on people’s access to healthcare, emphasising the necessity for policy to address this perpetual cycle of disadvantage for disabled people.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • AIHW. (2015). Access to health services by Australians with disability 2012. AIHW Bulletin No. 129. Cat. No. AUS 191. Canberra: Author.
    • Angus, J., Seto, L., Barry, N., Cechetto, N., Chandani, S., Devaney, J., Fernando, S., Muraca, L., & Odette, F. (2012). Access to cancer screening for women with mobility disabilities. Journal of Cancer Education, 27, 75-82. doi:10.1007/s13187- 011-0273-4
    • Araya, R., Rojas, G., Fritsch, R., Frank, R., & Lewis, G. (2006). Inequities in mental health care after health care system reform in Chile. American Journal of Public Health, 96, 109-113.
    • Badu, E., Agyei-Baofur, P., & Opoku, M. P. ( 2016). Access barriers to health care among people with disabilities in the Kumasi Metropolis of Ghana. Canadian Journal of Disability Studies, 5, 131-151.
    • Barrera, P. O., & Fritz, M. R. (2009). Integración laboral de personas con discapacidad física [Labour integration for people with physical disability] (Thesis for the title of Social Assistant). University of Concepción, Concepción, Chile.
    • Bell, D., & Heitmueller, A. (2009). The Disability Discrimination Act in the UK: Helping or hindering employment among the disabled? Journal of Health Economics, 28, 465-480. doi:10.1016/j.jhealeco.2008.10.006
    • Beresford, P. (1996). Poverty and Disabled People: Challenging dominant debates and policies. Disability & Society, 11, 553-568. doi:10.1080/09687599627598
    • Bossert, T. J., & Leisewitz, T. (2016). Innovation and change in the Chilean health system. New England Journal of Medicine, 374, 1-5. doi:10.1056/NEJMp1514202
    • Braithwaite, J., & Mont, D. (2009). Disability and poverty: A survey of World Bank Poverty Assessments and implications. ALTER, European Journal of Disability Research, 3, 219-232. doi:10.1016/j.alter.2008.10.002
    • Cabieses, B., Tunstall, H., & Pickett, K. E. (2010). Social determinants of disability among the immigrant population in Chile. Journal of Epidemiology and Community Health, 64, A58-A59. doi:10.1136/jech.2010.120477.64
    • CEME. (2010). Análisis económico de los gobiernos chilenos 1964-2000 [Economic analysis of Chilean governments 1964- 2000]. Centro de Estudios Miguel Enríquez. Retrieved October 26, 2016, from http://www.archivochile.com/Gobiernos/ varios_otros_gob/GOBotros0010.pdf
    • Contreras, D., Ruiz-Tagle, J., Garcés, P., & Azócar, I. (2006). Socioeconomic impact of disability in Latin America: Chile and Uruguay. Santiago: University of Chile.
    • De Maio, F. (2012). Advancing the income inequality - Health hypothesis. Critical Public Health, 22, 39-46. doi:10.1080/0 9581596.2011.604670
    • Drainoni, M. L., Lee-Hood, E., Tobias, C., Bachman, S. S., Andrew, J., & Maisels, L. (2006). Cross-disability experiences of barriers to health-care access: Consumer perspectives. Journal of Disability Policy Studies, 17, 101-115. doi:10.1177/10 442073060170020101
    • Egüez-Guevara, P., & Andrade, F. C. (2015). Gender diefrences in life expectancy with and without disability among older adults in Ecuador. Archives of Gerontology and Geriatrics, 61, 472-479. doi:10.1016/j.archger.2015.08.012
    • Ffrench-Davis, R. (2014). Chile entre el neoliberalismo y el crecimiento con equidad [Chile between neoliberalism and growth with equity] (5th ed.). Santiago: J.C. Sáez Editor SpA.
    • FONASA. (2015). Boletín estadístico 2013-2014 [Statistical bulletin 2013-2014]. Retrieved from https://www.fonasa.cl/sites/ fonasa/institucional/archivos
    • French-Davis, R. (2005). Economic reforms in Chile: From dictatorship to democracy. Michigan: University of Michigan Press.
    • Gibson, J., & O'Connor, R. (2010). Access to health care for disabled people: A systematic review. Social Care and Neurodisability, 1, 21-31. doi:10.1080/09687599627598
    • Gitlin, L. N., & Fuentes, P. (2012). The Republic of Chile: An upper middle-income country at the crossroads of economic development and aging. The Gerontologist, 52, 297-305. doi:10.1093/geront/gns054
    • Goic, A. G. (2015). El sistema de salud de Chile: una tarea pendiente [Healthcare system in Chile: A pending task]. Revista médica de Chile, 143, 774-786. doi:10.4067/S0034-98872015000600011
    • González, S., Tello, J., Silva, P., Lüders, C., Butelmann, S., Fristch, R., Solar, F., Rigo-Righi, C., & David, P. (2012). Quality of life in motor-handicapped patients according to socio-demographic factors and mental health. Revista Chilena de NeuroPsiquiatria, 50, 23-34. doi:10.4067/S0717-92272012000100003
    • Guajardo, A., Albuquerque, D., & Diaz, M. (2016). Derechos Humanos y Discapacidad; Dialogos Colectivos en Torno a la Autonomia de Personas en Situacion de Dependencia [Human rights and disability: Collective dialogue regarding the autonomy of people with dependencies]. Santiago: Editoria USACH.
    • Gudlavalleti, M. V. S., John, N., Allagh, K., Sagar, J., Kamalakannan, S., Ramachandra, S. S., & South India Disability Evidence Study Group. (2014). Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study. BMC Public Health, 14, 1-8. doi:10.1186/1471-2458-14-1125
    • Hankivsky, O., & Christoefrsen, A. (2008). Intersectionality and the determinants of health: A Canadian perspective. Critical Public Health, 18, 271-283. doi:10.1080/09581590802294296
    • Hwang, K., Johnston, M., Tulsky, D., Wood, D., Dyson-Hudson, T., & Komaro,f E. (2008). Access and coordination of health care service for people with disabilities. Journal of Disability Policy Studies, 20, 28-34.
    • INE. (2005). Primer estudio nacional de la discapacidad [First national study on disability]. Retrieved September 7, 2016, from http://www.ine.cl/canales/chile_estadistico/encuestas_discapacidad/discapacidad.php
    • INE. (2013). Censo 2012: Síntesis de resultados [2012 Census: Synthesis of results]. Retrieved August 3, 2016, from http:// www.iab.cl/wp-content/files_mf/resumencenso_2012.pdf
    • Kuncar Fritz, E. U. C. (2013). Sistema de salud en Chile [Healthcare system in Chile]. Santiago: Universidad San Sebastián.
    • Labra, M. E. (2002). La reinvención neoliberal de la inequidad en Chile. El caso de la salud [The neoliberal reinvention of inequality in Chile. The case of health]. Cadernos de Saúde Pública, 18, 1041-1052. doi:10.1590/S0102-311X2002000400010
    • Lee, J. E., Kim, H. R., & Shin, H. I. (2013). Accessibility of medical services for persons with disabilities: Comparison with the general population in Korea. Disability and Rehabilitation, 36, 1728-1734.
    • Maart, S., & Jelsma, J. (2014). Disability and access to health care - A community-based descriptive study. Disability and Rehabilitation, 36, 1489-1493. doi:10.3109/09638288.2013.807883
    • Mactaggart, I., Kuper, H., Murthy, G. V., Sagar, J., Oye, J., & Polack, S. (2016). Assessing health and rehabilitation needs of people with disabilities in Cameroon and India. Disability and Rehabilitation, 38, 1757-1764. doi:10.3109/09638288.2 015.1107765
    • Manderson, L., & Warren, N. (2016). Just one thing after another; recursive cascades and chronic conditions. Medical Anthropology Quarterly. doi:10.1111/maq.12277
    • Merten, J. W. (2015). Barriers to cancer screening for people with disabilities: A literature review. Disability and Health Journal, 8, 9-16. doi:10.1016/j.dhjo.2014.06.004
    • Miller, N., Kirk, A., Alston, B., & Glos, L. (2014). Eefcts of gender, disability, and age in the receipt of preventive services. The Gerontologist, 54, 473-487. doi:10.1093/geront/gnt012
    • Ministry of Social Development. (2015). CASEN 2013: Inclusión social de personas con dicfiultades y/o condiciones permanentes y de larga duración [CASEN 2013: Social inclusion of people with dificulties and/or permanent and long-lasting conditions]. Santiago: Ministry of Social Development.
    • Ministry of Social Development. (2016a). II estudio nacional sobre discapacidad [II national study on disability]. Retrieved August 3, 2016, from http://observatorio.ministeriodesarrollosocial.gob.cl/endisc/endisc_sobre_estudio.php
    • Ministry of Social Development. (2016b). CASEN 2015: Situación de la pobreza en Chile [CASEN 2015: Poverty situation in Chile]. Retrieved October 26, 2016, from http://observatorio.ministeriodesarrollosocial.gob.cl/casen-multidimensional/ casen/docs/CASEN_2015_Situacion_Pobreza.pdf
    • Ministry of Social Development. (2016c). Observatorio social: Encuesta CASEN [Social observatory: CASEN survey]. Retrieved from http://observatorio.ministeriodesarrollosocial.gob.cl/casen_obj.php
    • Missoni, E., & Solimano, G. (2010). Towards universal health coverage: The Chilean experience. World Health Report, Background Paper 4. Geneva: World Health Organisation.
    • Peters, K., & Cotton, A. (2015). Barriers to breast cancer screening in Australia: Experiences of women with physical disabilities. Journal of Clinical Nursing, 24, 563-572. doi:10.1111/jocn.2015.24.issue-3pt4
    • Popplewell, N., Rechel, B., & Abel, G. (2014). How do adults with physical disability experience primary care? A nationwide cross-sectional survey of access among patients in England. BMJ Open, 4, 1-9. doi:10.1136/bmjopen-2013-004714
    • Randolph, S. D. (2004). Predicting the eefct of disability on employment status and income. Work, 23, 257-266.
    • Rojas, J. L. B. (2011). GES (Explicit Health Care Guarantees) and transplants: Funding system in Chile. 2011 Organ Donation Congress. Retrieved July 3, 2016, from http://www.slideshare.net/incucai_isodp/jose-luis-rojas-chile-monday-28- ifnancing-the-donation-and-transplantation-process
    • Sanhueza, R., & Ruiz-Tagle, J. (2002). Choosing health insurance in a dual health care system: The Chilean case. Journal of Applied Economics, V, 157-184.
    • Schrecker, T. (2016). 'Neoliberal epidemics' and public health: Sometimes the world is less complicated than it appears. Critical Public Health, 26, 477-480. doi:10.1080/09581596.2016.1184229
    • Sewell, W. H., Jr. (2005). From state-centrism to neoliberalism: Macro-historical contexts of population health since World War II. In P. Hall & M. Lamont (Eds.), Successful societies: Institutions, cultural repertories, and health (pp. 254-287). Cambridge: Cambridge University Press.
    • Smith, D. (2008). Disparities in health care access for women with disabilities in the United States from the 2006 National Health Interview Survey. Disability and Health Journal, 1, 79-88. doi:10.1016/j.dhjo.2008.01.001
    • Subramanian, S. V., Delgado, I., Jadue, L., Vega, J., & Kawachi, I. (2003). Income inequality and health: Multilevel analysis of Chilean communities. Journal of Epidemiology and Community Health, 57, 844-848. doi:10.1136/jech.57.11.844
    • Trnka, S., & Trundle, C. (2014). Competing responsibilities: Moving beyond neoliberal responsibilisation. Anthropological Forum, 24, 136-153. doi:10.1080/00664677.2013.879051
    • Unger, J. P., De Paepe, P., Cantuarias, G. S., & Herrera, O. A. (2008). Chile's neoliberal health reform: An assessment and a critique. PLoS Medicine, 5, e79. doi:10.1371/journal.pmed.0050079
    • United Nations. (2006). Final report of the ad hoc Committee on a comprehensive and integral international convention on the protection and promotion of the rights and dignity of persons with disabilities. A/61/611. Retrieved August 3, 2016, from https://documents-dds-ny.un.org/doc/UNDOC/LTD/N06/645/30/PDF/N0664530.pdf?OpenElement
    • United Nations. (2014). Consideration of reports submitted by States parties under article 35 of the Convention: Initial reports of States parties due in 2010-Chile. CRPD/C/CHL/1. Retrieved August 3, 2016, from https://documents-dds-ny.un.org/ doc/UNDOC/GEN/G14/159/64/PDF/G1415964.pdf?OpenElement
    • Walby, S., Armstrong, J., & Strid, S. (2012). Intersectionality: Multiple inequalities in social theory. Sociology, 46, 224-240. doi:10.1177/0038038511416164
    • Wilkinson, R., & Marmot, M. (2003). Social determinants of health; the solid facts. Geneva: World Health Organisation.
    • World Bank. (2016). Data: Health expenditure. Retrieved October 26, 2016, from http://data.worldbank.org/indicator/SH.XPD. PUBL?locations=CL
    • World Health Organisation. (2008). Primary health care; now more than ever. Geneva: Author.
    • World Health Organisation. (2011). World report on disability. Geneva: Author.
    • WUNRN. (2011). Women with disabilities - Statistics. Retrieved August 11, 2016, from http://www.wunrn.com/2011/05/ women-with-disabilities-un-convention-on-rights-of-disabled/
    • Zaidi, A., & Burchardt, T. (2005). Comparing incomes when needs diefr: Equivalization for the extra costs of disability in the UK. Review of Income and Wealth, 51, 89-114. doi:10.1111/roiw.2005.51.issue-1
    • Zitko, M. P., & Cabieses, V. B. (2011). Socioeconomic determinants of disability in Chile. Disability and Health Journal, 4, 271-282. doi:10.1016/j.dhjo.2011.06.002
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article