People with disabilities encounter a range of barriers to accessing health services. The study examined the knowledge, experience, attitudes, and barriers of community-based health service providers, as well as the characteristics associated with their perceived success in providing accessible services. It was based on an online survey of 2,056 physicians, nursing personnel, and administrative staff from Israel’s four health plans. The data were analyzed using descriptive and comparative analyses, hierarchical regression, and a machine learning model.
Most respondents reported success in providing accessible services; however, 65% reported at least one barrier at their workplace. The main barriers cited by respondents across all occupational groups were a lack of advanced information about patients’ disabilities and the accommodations they require; a lack of adapted equipment; and insufficient time and staff. In both the regression analysis and the machine learning model, variables related to time, staffing, adapted equipment, and physical accessibility were associated with perceived success in providing accessible services.
The findings highlight the importance of working conditions alongside professional knowledge and perceived professional competence. Recommendations include strengthening the organizational conditions for providing accessible services, strengthening the role and availability of accessibility coordinators, developing training and tools to adapt services to patients’ needs, and promoting patient autonomy and participation in decisions about their care.
Suggested citation: (APA):
Nagar Eidelman, R., Koren, Y., & Barlev, L. (2026). Accessibility of community-based health services for people with disabilities: The service providers’ perspective. RR-26-096. Myers-JDC-Brookdale Institute.