Provision of primary health care for people with disabilities: requirements for accessible environment organization

Provision of health care for persons with disabilities (PDs) requires additional conditions — creation of an accessible environment in medical facilities and surroundings.

Aim. To study principles of providing inclusive and safe environment for PDs in healthcare facilities providing primary health care.

Material and methods. A search and analysis of regulatory legal documents and statistical data on providing an accessible environment for PDs was conducted. Data from the official websites of the Federal State Statistics Service and the Russian Public Opinion Research Center were used. The search for regulatory legal acts was carried out using the reference legal system Consultant Plus. The following research methods were used: descriptive statistics, content analysis.

Results. The tendency towards an increase in the number of people with repeated disability and the number of disabled children allows to predict a further increase in the number of disabled persons in adulthood. Accessibility and inclusive conditions are a prerequisite for such patients visiting primary health care facilities. The requirements for them are regulated by a large number of guidelines, which were systematized within the study.

Conclusion. The increase in the number of PDs determines the relevance of creating an inclusive environment taking into account the needs of people with various health and mobility impairments. In addition to creating technical conditions for a inclusive and safe environment, a set of organizational solutions is needed, including regulations for employees responsible for distributing patient flows in the healthcare facilities and their interaction. Federal state educational standards and typical job functions of employees of healthcare facilities (nurse, medical registrar, medical administrator) need to be revised in terms of specifying their participation in providing assistance to PDs.

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