Tara Lagu (
Carol Haywood, Northwestern University.
Health Aff (Millwood). 2022 Oct;41(10):1387-1395. doi: 10.1377/hlthaff.2022.00475.
People with disabilities face barriers when attempting to gain access to health care settings. Using qualitative analysis of three physician focus groups, we identified physical, communication, knowledge, structural, and attitudinal barriers to care for people with disabilities. Physicians reported feeling overwhelmed by the demands of practicing medicine in general and the requirements of the Americans with Disabilities Act of 1990 specifically; in particular, they felt that they were inadequately reimbursed for accommodations. Some physicians reported that because of these concerns, they attempted to discharge people with disabilities from their practices. Increasing health care access for people with disabilities will require increasing the accessibility of space and the availability of proper equipment, improving the education of clinicians about the care of people with disabilities, and removing structural barriers in the health care delivery system. Our findings also suggest that physicians' bias and general reluctance to care for people with disabilities play a role in perpetuating the health care disparities they experience.
残疾人在试图获得医疗保健服务时会面临障碍。通过对三个医生焦点小组的定性分析，我们确定了残疾人获得医疗服务的物理、沟通、知识、结构和态度障碍。医生们报告说，他们普遍感到不堪重负，既要满足一般行医的要求，又要满足 1990 年《美国残疾人法案》的要求；特别是，他们认为自己为适应这些要求而得到的补偿不足。一些医生报告说，由于这些担忧，他们试图将残疾人从自己的诊所中解雇。增加残疾人获得医疗保健的机会，需要增加空间的可及性和适当设备的可用性，提高临床医生对残疾人护理的教育，并消除医疗服务提供系统中的结构性障碍。我们的研究结果还表明，医生的偏见和普遍不愿为残疾人提供护理，在延续他们所经历的医疗保健差距方面发挥了作用。
