Barriers to the accessibility and continuity of health-care services in people with multiple sclerosis

Chungyi Chiu, Malachy Bishop, J. J. Pionke, David Strauser, Ryan L. Santens

研究成果: Article同行評審

17 引文 斯高帕斯(Scopus)


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.

頁(從 - 到)313-322
期刊International Journal of MS Care
出版狀態Published - 2017 十一月 1

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Advanced and Specialised Nursing

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