Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients.
Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients.
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发表时间：
2021
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通讯作者：
Cyr PEP
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作者：
Su CJ;Cyr PEP
据估计，每四个美国成年人中就有一个患有残疾，而且这个数字还在继续增加。残疾人面临着严重的医疗不平等，包括但不限于无法获得和虐待。我们目前的医疗保健系统无法为这一人群提供公平的护理。医疗保健环境缺乏无障碍环境，缺乏使残疾人能够成为为其社区服务的医疗保健提供者的无障碍医疗培训，缺乏包括照顾残疾病人在内的全面医疗教育。此外，残疾人遭受创伤的风险增加，特别是医疗创伤的风险增加，使他们更有可能受到长期不利影响。在这篇评论中，我们分析了三个关键领域：1）残疾患者的医疗保健现状，2）医学教育和医生队伍中的残疾，以及3）创伤和残疾之间的关系。我们认为，残疾病人更公平的照顾之路涉及到医学教育，解决所有这三个领域的变化。医疗培训应使受训者在早期和整个培训过程中了解残疾，应使残疾医生更容易获得支持，最后，应以明确包括照顾残疾病人及其其他交叉身份的方式了解创伤。
An estimated 1 in 4 U.S. adults has a disability, and this number continues to increase. Disabled individuals face significant healthcare inequities, including but not limited to inaccessibility and mistreatment. Our current healthcare system is ill-equipped to provide equitable care to this population. There is a lack of accessibility in healthcare environments, lack of accessible medical training to enable disabled people to become healthcare providers serving their own community, and lack of thorough medical education that encompasses care for disabled patients. Furthermore, the increased risk of trauma, as well as increased risk of medical trauma specifically, endured by disabled people puts them at greater risk of long-lasting adverse effects. In this commentary, we analyze three key areas: 1) the current state of healthcare for disabled patients, 2) disability in medical education & physician workforce, and 3) the relationship between trauma and disability. We argue that the road to more equitable care for disabled patients involves changes to medical education that address all three of these areas. Medical training should expose trainees to disability early and throughout their training, should be made more accessible to support disabled physicians, and finally, should be trauma-informed in a manner that explicitly includes caring for disabled patients and their other intersecting identities.