School of Public Health-Health Behavior, The University of Alabama at Birmingham, 1665 University Blvd., Birmingham, AL 35294, USA.
School of Health Professions-Occupational Therapy, National Center on Health, Physical Activity and Disability (NCHPAD), The University of Alabama at Birmingham, 3810 Ridgeway Drive, Birmingham, AL 35209, USA.
Int J Environ Res Public Health. 2023 Dec 22;21(1):18. doi: 10.3390/ijerph21010018.
The recent World Health Organization report on disability noted that people with disabilities (PWD) have many unmet health and rehabilitation needs, face numerous barriers to accessing healthcare and specialized services, and have overall worse health than people without disability. In view of this urgency to better identify and address health inequities systematically, we convened an expert panel of 14 stakeholders to develop a strategic plan that addresses this issue. The panel identified two major obstacles to quality healthcare services for PWD: (1) lack of coordination between the various healthcare sectors and community well-being programs and (2) substantial challenges finding and accessing healthcare services that meet their specific needs. The expert stakeholder panel noted that well-being self-management programs (both online and in person) that are easily accessible to PWD are critically needed. PWD must transition from being cared for as patients to individuals who are able to self-manage and self-advocate for their own health and well-being plans and activities. The proposed strategic plan offers providers and local communities a framework to begin addressing accessible and appropriate healthcare-to-well-being services and programs for PWD in managing their health in partnership with their healthcare providers.
世界卫生组织最近发布的一份关于残疾问题的报告指出,残疾人(PWD)存在着大量未满足的健康和康复需求,在获得医疗保健和专门服务方面面临着诸多障碍,整体健康状况不如非残疾人。鉴于迫切需要系统地更好地识别和解决健康不平等问题,我们召集了一个由 14 名利益攸关方组成的专家小组,制定了一项解决这一问题的战略计划。该小组确定了残疾人获得优质医疗保健服务的两个主要障碍:(1)各医疗保健部门和社区福利计划之间缺乏协调;(2)找到并获得满足其特定需求的医疗保健服务存在很大困难。专家利益攸关方小组指出,迫切需要为残疾人提供便于使用的福利自我管理计划(线上和线下)。残疾人必须从被当作病人照顾转变为能够自我管理和为自己的健康和福利计划和活动进行自我倡导的个体。拟议的战略计划为提供者和当地社区提供了一个框架,开始为残疾人提供可及和适当的医疗保健-福利服务和计划,以帮助他们与医疗保健提供者合作管理自己的健康。