Table 2. Barriers to the access of people with disabilities in health services, according to the level of care (service provision).

Level of care	Barriers found in the literature
Basic	Lack of reliable and accessible transportation for users to arrive at consultations20,22,25; lack of training and inadequate skills on the part of professionals, environmental issues such as distant health units, insufficient time for consultations, negative attitude and lack of coordinated care by professionals18,20; and failures of health systems in responding adequately to the identified treatable morbidity40.
Specialized	Poor access to buildings, difficulty in transporting wheelchairs and poor parking facilities for disabled people, community and social environments generally unsuitable for wheelchair access41; difficulty for timely access to appropriate services27; lack of care for secondary health care26; lack of training and skills necessary for professionals and fragmentation of the health system28,42; and long waiting time for care and inadequate procedures for treatments and maintenance of assistive products41.
High complexity	Lack of self-care oriented to health policies and promotion, accessibility difficulties, limited availability of trained professionals, lack of social support, discrimination, financial restrictions, lack of information and educational interventions directed to users43; lack of communication by professionals31,44; and lack of funding for the purchase of devices necessary for treatment44.
Unspecified level of attention	Barrier to the use of technology by therapists, lack of training and/or resources to support the use of technology in the practice33; communication barriers between professionals and patients and among the health team itself16,32,34; language and cultural comprehension barriers35; physical barriers to care16; barriers to rehabilitation financing45 and technologies33; barriers to performing health exams38; discrimination from the health service provider34,36; failure to schedule appointments32; lack of skills of professionals46; lack of education initiatives on health services and misunderstanding of rehabilitation by people with disabilities32; lack of personal motivation of professionals32; lack of patience of professionals, lack of empathy, little understanding of disability issues16,37; lack of resources in the areas of psychology, speech therapy, and neuropsychology32; and fear and anxiety among professionals36.