Kannam Allison, Haywood Carol, Morris Megan A, Huang Lynn, Singer Tracey, Bajaj Gurasees, Muhammad Aijalon, Lagu Tara
Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
J Hosp Med. 2025 Feb;20(2):109-119. doi: 10.1002/jhm.13477. Epub 2024 Aug 7.
People with disability (PWD) face challenges accessing healthcare. Websites are a public-facing resource that can help PWD determine if a hospital can accommodate their needs, yet few studies have described whether hospital websites contain adequate accommodation information.
To characterize the extent to which information about disability accommodations is available on US hospital websites.
We manually reviewed hospital websites using a structured extraction form. We used the Centers for Medicare and Medicaid Services' Hospital General Information Data set to identify a stratified random sample of 600 nonspecialty hospitals in the United States. We excluded hospitals that shared a website with a previously reviewed hospital for a final sample of 445. We recorded (1) content about specific disability accommodations (in 11 predetermined categories); (2) descriptions of hospital policy mentioning disability; and (3) the point of contact to obtain more information about accommodations.
About two-thirds (65.6%) of sampled hospitals were acute care hospitals (vs. 34.4% critical access); 53.5% had 26-299 beds. Overall, 73.7% websites had information about accommodations; of these, 36.3% had information solely within hospital policies. Of the 47.0% websites with accommodation information beyond hospital policies, the mean number of accommodations listed (excluding policy statements) was 2.37 (of 11 possible). Hospitals with 300+ beds had higher odds of listing any nonpolicy accommodations than those with 1-26 beds (odds ratio = 2.768, p = .02). Less than half (40.5%) hospitals listed a contact person.
Information about disability accommodations is sparse on hospital websites. Comprehensive and actionable communication about accommodations is needed to better protect PWD's rights to accessible healthcare.
残疾人在获取医疗保健服务方面面临挑战。网站是面向公众的资源，可帮助残疾人确定医院是否能满足其需求，但很少有研究描述医院网站是否包含足够的便利设施信息。
描述美国医院网站上有关残疾便利设施信息的可得程度。
我们使用结构化提取表格手动审查医院网站。我们利用医疗保险和医疗补助服务中心的医院一般信息数据集，在美国确定了600家非专科医院的分层随机样本。我们排除了与之前审查过的医院共用一个网站的医院，最终样本为445家。我们记录了：（1）有关特定残疾便利设施的内容（在11个预先确定的类别中）；（2）提及残疾的医院政策描述；（3）获取更多便利设施信息的联系人。
约三分之二（65.6%）的抽样医院为急症护理医院（相比之下，34.4%为临界接入医院）；53.5%的医院有26至299张床位。总体而言，73.7%的网站有关于便利设施的信息；其中，36.3%的信息仅在医院政策中。在47.0%有超出医院政策的便利设施信息的网站中，列出的便利设施平均数量（不包括政策声明）为2.37个（可能的11个中）。拥有300张及以上床位的医院列出任何非政策便利设施的几率高于拥有1至26张床位的医院（优势比=2.768，p=0.02）。不到一半（40.5%）的医院列出了联系人。
医院网站上有关残疾便利设施的信息稀少。需要进行全面且可操作的便利设施沟通，以更好地保护残疾人获得无障碍医疗保健服务的权利。
