近五十年的残疾民权法实现公平护理了吗？
Have Almost Fifty Years Of Disability Civil Rights Laws Achieved Equitable Care?
机构信息
Lisa I. Iezzoni (
Michael M. McKee, University of Michigan, Ann Arbor, Michigan.
出版信息
Health Aff (Millwood). 2022 Oct;41(10):1371-1378. doi: 10.1377/hlthaff.2022.00413.
Abstract
For almost fifty years, federal civil rights laws such as Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act (ADA) of 1990 and the ADA Amendments Act of 2008, and Section 1557 and other provisions of the 2010 Patient Protection and Affordable Care Act have prohibited discrimination against Americans with disabilities, including in health care. Despite these laws, disabled Americans continue to experience disparities in health and health care, from preventive care to home and community-based services. In its 2022 the National Council on Disability highlighted some of these disparities and recommended remedies. To explore these concerns, this article examines disability inequities and potential solutions within six areas. It concludes by recommending the ratification of the 2006 United Nations Convention on the Rights of Persons with Disabilities to reinvigorate US efforts to maximize the health and dignity of disabled Americans and support their full participation in the community.
摘要
近五十年来，联邦民权法律，如 1973 年《康复法案》第 504 条、1990 年《美国残疾人法案》（ADA）和 2008 年 ADA 修正案，以及 2010 年《患者保护与平价医疗法案》的第 1557 条和其他规定，都禁止对残疾美国人的歧视，包括在医疗保健方面。尽管有这些法律，但残疾美国人在健康和医疗保健方面仍然存在差异，从预防保健到家庭和社区为基础的服务。在其 2022 年的报告中，国家残疾委员会强调了其中的一些差异，并提出了补救建议。为了探讨这些问题，本文在六个领域内研究了残疾不平等和潜在的解决方案。最后，建议批准 2006 年《联合国残疾人权利公约》，以重振美国努力，最大限度地提高残疾美国人的健康和尊严，并支持他们充分参与社区。
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