Required to discuss and explain causal Factors for disabled people listed:

Discuss must be related to ethics of Health Services 

Factors are:

1. Ignorance
2. Unfriendly environment
3. Inaccessible communication and transport
4. Lack of medical equipment and related facilitie

Answer:

The factors are:

Ignorance

Ignorance in the treatment of people with regard to the way of treating people with disabilities in relation to their health care is a negative factor that causes serious problems for society. In the first place because the disabled person is still seen as a burden; There is a widespread indisposition to give him the treatment he deserves. On this point, health services should urgently develop preparation programs for medical personnel present in the care centers so that they do not discriminate against disabled persons. There may also be a psychological factor that generates a rejection of the disabled, especially when they are severe cases, the fear of their reactions to the treatment of others; staff ignorance about the specific type of medical care that should be provided to a disabled person.

Hostile environment

Hostility manifests itself in virtually all environments. In health services there is widespread discrimination as well. It is to be understood that doctors, not all doctors have the professional basis to act altruistically before a disabled person, trying above all means to understand their condition. A disabled person cannot and should not be treated with a sick person - that is how he treats them in many care centers; A disabled person deserves all the attention and respect from the medical staff. A disabled with proper care has the necessary bases to integrate into society. According to Scielo (2019)

People with disabilities can contribute to society in the same circumstances as others, but always from valuation to inclusion and respect for the diverse. This model is related to the essential values ??that underlie human rights, such as human dignity, personal freedom and equality, which promote the reduction of barriers and give rise to social inclusion, which bases principles such as personal autonomy, non-discrimination, universal accessibility, normalization of the environment, civil dialogue, among others. The premise is that disability is a social construction, not a deficiency that creates the same society that limits and prevents people with disabilities from including, deciding or autonomously designing their own life plan on equal opportunities. (p. 21)

Communication and transport inaccessible.

In most countries there are problems in medical centers that refer to the possibilities of effective and immediate communication and transportation characterized by major deficiencies. This, without a doubt, is one of the main causes for the deficiency in medical care for people with disabilities. Medical centers, especially in rural areas, do not have the means to communicate with the immediacy demanded by a disabled person with health problems. The duty is to procure communication mechanisms and means of transport with adequate efficiency; It is a health problem, it is a state problem, it is a problem where citizenship must be inclusive and not consider the disabled as a being of less.

Lack of medical equipment and related facilities.

Perhaps this is the biggest problem: the lack of medical equipment and adequate facilities to care for people with disabilities. Based on this situation, medical centers should make a kind of census, a family-to-house family study to determine the population of disabled people in a particular place. With this information you can also make a census of the type of disabled: moderate or severe. This, in turn, may allow to determine which are the most recurrent health deficiencies according to the type of disabled. With this entire database, any population covered by efficient ethical medical work can develop a report to ask the state for the necessary resources that allow for the adequate provision of medical equipment and the equipment of the facilities to attend to the disabled as what really they are: people with dignity deserving of a more inclusive treatment that leads them to integrate into society under a feeling of greater affection and consideration.