Richardson M
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195.
Annu Rev Public Health. 1994;15:91-105. doi: 10.1146/annurev.pu.15.050194.000515.
The impact of the American with Disabilities Act (ADA) on employers and the workplace extends well beyond the provisions of the Act. Besides demanding an end to discrimination in the workplace against persons with disabilities, both the ADA and the Rehabilitation Act articulate the goals of equal opportunity, full participation, independent living, and economic self-sufficiency. They state clearly the right of each person to a full and meaningful life regardless of disability. Promoting those goals through employment requires thinking more broadly about the interaction between the individual with the disability, the workplace, and society. The employer is not the only participant. The individual with the disability plays an important role, as do the health care providers. An opportunity to align the goals of SSI and SSDI more closely with the ADA may lie in efforts to expand health care approaches to disability, based on the IOM Model of Disability, and link such practice with disability management efforts in the workplace.
《美国残疾人法案》(ADA)对雇主和工作场所的影响远远超出了该法案的条款范围。除了要求结束工作场所对残疾人的歧视外,ADA和《康复法案》都阐明了平等机会、充分参与、独立生活和经济自给自足的目标。它们明确规定了每个人无论是否残疾都有权过上充实而有意义的生活。通过就业促进这些目标需要更广泛地思考残疾人士、工作场所和社会之间的相互作用。雇主并非唯一的参与者。残疾人士以及医疗保健提供者都发挥着重要作用。基于医学研究所在职的《残疾模式》,扩大针对残疾的医疗保健方法,并将这种做法与工作场所的残疾管理工作联系起来,可能是使补充保障收入(SSI)和社会安全残疾保险(SSDI)的目标与ADA更紧密结合的一个契机。