N 5 (196) 2025. P. 77–82

STUDY OF THE ACCESSIBILITY OF MEDICAL AND PHARMACEUTICAL CARE FOR PEOPLE WITH DISABILITIES

Lviv Polytechnic National University, Lviv, Ukraine,
State Non-Profit Enterprise “Danylo Halytsky Lviv National Medical University”, Lviv, Ukraine,
Private Higher Educational Institution “Lviv Medical University”, Lviv, Ukraine

DOI 10.32782/2226-2008-2025-5-13

Introduction. The number of people with disabilities in Ukraine has reached 3 million people, of which more than 300 thousand have received such status since the beginning of the full-scale invasion of Russian troops into Ukraine. This has exacerbated the issue of medical and pharmaceutical services for such patients.

The aim of the study was to identify the problems that people with disabilities face when receiving services in healthcare facilities (HCFs).

Material and methods. The methods of survey, mathematical statistics, generalization and interpretation of results were used. The materials were the results of an oral and questionnaire survey of 481 people with disabilities living in Lviv and the Lviv region.

Results and discussion. The reasons for the difficulty of reaching the HCFs and the physical inconveniences that people with disabilities face when visiting pharmacies and polyclinics were identified. It is shown that this group of patients often encounter cases of inadequate pharmaceutical and medical care, which forces them to defend their rights in conflict situations. Given the existing problems in pharmaceutical and medical services, respondents provided suggestions for improving services in HCFs.

Conclusions. Based on the questionnaire survey, problems of transport and physical accessibility to HCFs, an insufficient level of pharmaceutical and medical services and inappropriate attitude towards them in pharmacies and polyclinics were identified. It is shown that the implementation of the National Strategy for Creating a Barrier-Free Space in Ukraine, integrated into the state healthcare system, will contribute to improving services for people with disabilities. In this regard, it is important to train medical and pharmaceutical workers in serving people with disabilities.

Keywords: people with disabilities, medical and pharmaceutical services, pharmacy, polyclinic.

REFERENCES

  1. Pesotska Y. Regulatory and legal provision of social rehabilitation of persons with disabilities. Soc Work Soc Educ [Internet]. 26 Oct. 2022 [cited 19 Jun. 2025];2(9)):121-9. (In Ukrainian). Available from: https://doi.org/10.31499/2618-0715.2(9).2022.267102.
  2. Ministerstvo sotsialnoi polityky, pres-tsentr, novyny [Internet]. Ministr sotsialnoi polityky Ukrainy Oksana Zholnovych v efiri Natsionalnoho telemarafonu rozpovila pro sotsialnu polityku ta zminy v 2023 rotsi; 30 Dec. 2022 [cited 19 Jun. 2025]. (In Ukrainian). Available from: https://www.msp.gov.ua/press-center/news/ministr-sotsialnoyi-polityky-ukrayiny-oksa-na-zholnovych-v-efiri-natsionalnoho-telemarafonu-rozpovila-pro-sotsialnu-polityku-ta-zminy-v-2023-rotsi.
  3. Ministerstvo okhorony zdorovia Ukrainy, hromadianam, reabilitatsiia, aktualna informatsiia z reabilitatsii [Internet]. Aktualna informatsiia z reabilitatsii; [cited 19 Jun. 2025]. (In Ukrainian). Available from: https://moz.gov.ua/uk/aktualna-informacija-z-reabilitacii.
  4. Ministerstvo sotsialnoi polityky, pres-tskntr, novyny [Internet]. Tanasyshyn u shtab-kvartyri OON: V Ukraini ponad 3 mln liudei z invalidnistiu – tse liudy z velycheznym potentsialom, navychkamy, ideiamy, syloiu; 13 Jun 2024 [cited 18 Jun 2025]. (In Ukrainian). Available from: https://www.msp.gov.ua/press-center/news/tanasyshyn-u-shtab-kvartyri-oon:-v-ukrayini-ponad-3-mln-lyudey-z-invalidnistyu-tse-lyudy-z-velycheznym-potentsialom-navychkamy-ideyamy-syloyu.
  5. Wakeham S, Heung S, Lee J, Sadowski CA. Beyond equality: Providing equitable care for persons with disabilities. Can Pharm J Rev Pharm Can [Internet]. Jul. 2017 [cited 19 Jun. 2025]; 150(4): 251–8. Available from: https://doi.org/ 10.1177/1715163517710957.
  6. Clemente KA, Silva SV, Vieira GI, Bortoli MC, Toma TS, Ramos VD, Brito CM. Barreiras ao acesso das pessoas com deficiência aos serviços de saúde: uma revisão de escopo. Rev Saude Publica [Internet]. 1 Jul 2022 [cited 19 Jun 2025]; 56: 64. Available from: https://doi.org/10.11606/s1518-8787.2022056003893.
  7. Hromovyk BP, Pankevych OB. The role and place of pharmaceutical security in the national security system. Odesa Med J [Internet]. 2024 [cited 19 Jun 2025]; (4): 78–83. (In Ukrainian). Available from: https://doi.org/10.32782/2226-2008-2024-4-13.
  8. Konfederatsiia robotodavtsiv Ukrainy, novyny [Internet]. Naibilshe liudei z invalidnistiu zareiestrovano u Lvivskii oblasti, a naibilshe pratsiuiut – u Kyievi; 24 Jun 2024 [cited 18 Jun 2025]. (In Ukrainian). Available from: https://employers.org.ua/ news/id2642.
  9. Hromovyk BP, Korolyov MV. The results of the study of pharmacists’ opinion regarding the organization of their work in pharmacies during the coronavirus COVID-19 pandemic. Farmatsevtychnyi Zhurnal [Internet]. 9 Jul 2020 [cited 19 Jun 2025]; (3): 39–44. (In Ukrainian). Available from: https://doi.org/10.32352/0367-3057.3.20.04.
  10. Jairoun AA, Al-Hemyari SS, Shahwan M, et al. Access to community pharmacy services for people with disabilities: Barriers, challenges, and opportunities. Res Soc Adm Pharm [Internet]. May 2022 [cited 19 Jun 2025]; 18(5): 2711–3. Available from: https://doi.org/10.1016/j.sapharm.2022.01.009.
  11. Pedelahore M. Accompagnement de la personne handicapée à l’officine : le point de vue des professionnels. Universite Clermont Auvergne ufr de Pharmacie. 2020; 85. (In France). Available from: https://dumas.ccsd.cnrs.fr/dumas-03132634v1/file/ PEDELAHORE%20Martin.pdf.
  12. Badr AF. Exploring Barriers Faced by Community Pharmacists in Serving Patients with Disabilities in Saudi Arabia: Recommendations for Enhancing Healthcare Provisions. Pharmacy [Internet]. 9 Sep. 2024 [cited 19 Jun. 2025]; 12(5): 137. Available from: https://doi.org/10.3390/pharmacy12050137.
  13. Walji S, Carroll JC, Haber C. Experiences of patients with a disability in receiving primary health care. Can Fam [Internet]. Jul. 2021 [cited 19 Jun. 2025]; 67(7): 517–24. Available from: https://doi.org/10.46747/cfp.6707517.
  14. Voitko M, Hromovyk B, Oliinyk P. Farmatsevtychne obsluhovuvannia osib z vadamy slukhu. Universum [Internet]. 27, Oct. 2024 [cited 19 Jun. 2025]; (13): 278–84. (In Ukrainian). Available from: https://archive.liga.science/index.php/universum/ article/view/1289.
  15. Pro skhvalennia Natsionalnoi stratehii iz stvorennia bezbariernoho prostoru v Ukraini na period do 2030 roku, Rozporiadzhennia Kabinetu Ministriv Ukrainy № 366-r [Internet], 14 Apr 2021 [cited 19 Jun 2025]. (In Ukrainian). Available from: https://zakon.rada.gov.ua/laws/show/366-2021-р#Text.