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Addressing Healthcare Inequities for Older Adults: Challenges and Pathways to Equitable Healthcare Services

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 921

Special Issue Editors


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Guest Editor
Faculty of Medicine and Science, Universidad San Sebastián, Los Leones Campus, Santiago 7510157, Chile
Interests: ageing; disability; social epidemiology; access to healthcare; health inequities; sustainable development

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Guest Editor
Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Sede Los Leones, Santiago 7500000, Chile
Interests: disability in older people; public policy; programs and services for older people; multicomponent interventions in older people; comprehensive gerontological assessment; physical activity and exercise; sustainability in older people; telehealth in older people

Special Issue Information

Dear Colleagues,

This Special Issue focuses on the intersection of health inequities and equitable access to healthcare services for older people, with a particular emphasis on the social determinants of health. Older people face unique challenges in accessing equitable healthcare services, which can lead to worse health outcomes for this population. Factors, such as declining physical and cognitive abilities, the increased prevalence of chronic conditions, geriatric syndromes, disability, and a greater dependency on long-term care, place older adults at a higher risk of encountering healthcare barriers. Additionally, socioeconomic disparities, rural isolation, and limited access to digital technologies, such as telehealth, further exacerbate these challenges. The social determinants of health—including income, education, housing, and social support—also play a crucial role in shaping the healthcare experiences of older adults, often contributing to the creation of health inequities. Addressing these barriers requires tailored health policies, improved care coordination and accessible healthcare solutions to ensure that older individuals can receive the necessary care and support to maintain their well-being.

The Special Issue will explore themes such as economic disparities, sociocultural aspects that have an impact on older people's access to healthcare services, and the effect of multiple structural disadvantages—such as disability, race, and migration status—on the creation and perpetuation of health inequities for older people. It will also explore the barriers and facilitators in accessing healthcare services, as well as policies that can promote equity in healthcare. The goal is to shed light on the systemic factors contributing to health inequities and propose solutions for more inclusive healthcare for older people.

Dr. Elena S. Rotarou
Dr. Rafael Pizarro-Mena
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • ageing
  • older people
  • disability
  • health inequity
  • access to healthcare services
  • social determinants of health

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Published Papers (1 paper)

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Research

17 pages, 1011 KiB  
Article
Satisfaction with Health Facility Personnel Among Older People with Disabilities in Chile: An Observational Study Based on the 2024 DISCA Survey
by Elena S. Rotarou, Dikaios Sakellariou and Rafael Pizarro-Mena
Int. J. Environ. Res. Public Health 2025, 22(7), 1103; https://doi.org/10.3390/ijerph22071103 - 13 Jul 2025
Viewed by 297
Abstract
Achieving health equity for people with disabilities requires addressing the barriers that they face when accessing healthcare. Older adults with disabilities may experience compounded disparities, yet little research has explored their satisfaction with health facility personnel, including non-healthcare staff. This study examines differences [...] Read more.
Achieving health equity for people with disabilities requires addressing the barriers that they face when accessing healthcare. Older adults with disabilities may experience compounded disparities, yet little research has explored their satisfaction with health facility personnel, including non-healthcare staff. This study examines differences in satisfaction with health facility personnel between younger (18–59 years) and older (60+) adults with disabilities in Chile. Data from the 2024 Disability and Citizenship (DISCA) survey were analysed using chi-square tests to examine differences between younger and older people with disabilities with regard to their satisfaction with health facility personnel. Ordered logistic regressions were employed to predict high satisfaction, given socioeconomic and health-related variables. Findings indicated that a higher percentage of older adults with disabilities reported high satisfaction with health facility personnel compared to younger adults. Ordered logistic regressions confirmed that older adults had greater odds of reporting high satisfaction with doctors (OR: 3.83), other health professionals (OR: 4.66), paramedical technicians (OR: 4.31), and administrative staff (OR: 3.13). These results suggest that age influences satisfaction levels among people with disabilities, potentially due to varying expectations, experiences, or interactions with health facility personnel. Understanding the underlying reasons for these age-related differences is essential to inform policies and practices that ensure equitable, person-centred care for people with disabilities across the life course. Full article
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