most of the PWMDs had poor access to health
services especially the rehabilitation. Factors influencing the
access to health services among PWMDs in the Northeast
of Thailand are residential area, monthly income, having
offspring and spouse as caregivers in everyday life. Those
who lived in rural area were more convenient in traveling
to the sub district health promoting hospital than those in
the urban area. Those who had higher income were more
likely to afford the access to health service. The strong tie
relationships between caregivers and PWMDs contributed
to the higher intensity in taking good care of the disabled
health and their wellbeing; therefore, the accessibility to
health care of the PWMDs who had offspring and spouse
as caregivers were significantly higher than the others.
A recommendation for further research is to conduct
an action research on comprehensive and continuity of
PWMDs caring system development in the community.