Ohio Colleges of Medicine Government Resource Center, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Nisonger Center, The Ohio State University, College of Medicine, Columbus, Ohio, USA.
Phys Ther. 2024 Sep 4;104(9). doi: 10.1093/ptj/pzae092.
Americans with disabilities represent the largest historically underserved and marginalized health disparity population in the United States. This perspective piece will raise the awareness of physical therapist faculty and clinicians on gaps in health care provider knowledge about disability and provide actionable strategies, frameworks, and resources available to improve disability competence to make changes in clinical education and practice. In this perspective piece, 3 contributions are made. First, health disparities experienced by Americans with disabilities as a result of health care providers' biased assumptions about disability and lack of disability competence are described through an in-depth illustration of lived experiences of people with disabilities. Second, a discussion of disability competence in physical therapist education is provided. Finally, critical and evidence-based insights and actionable frameworks and resources to address disability competence training gaps and to promote anti-ableist practice are provided.
美国残疾人是美国历史上服务最不足、最边缘化的健康差异群体。本文将提高物理治疗师教师和临床医生对医疗保健提供者在残疾知识方面差距的认识,并提供可行的策略、框架和资源,以提高残疾能力,从而在临床教育和实践中做出改变。在这篇观点文章中,做出了 3 点贡献。首先,通过深入说明残疾人的生活经历,描述了由于医疗保健提供者对残疾的偏见假设和缺乏残疾能力而导致的美国残疾人所经历的健康差异。其次,提供了关于物理治疗师教育中的残疾能力的讨论。最后,提供了有批判性和基于证据的见解,以及可行的框架和资源,以解决残疾能力培训差距,并促进反歧视性实践。