More than Ramps
More than Ramps
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不仅仅是坡道
DOI：
10.1093/acprof:oso/9780195172768.001.0001
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发表时间：
2006
影响因子：
5.6
通讯作者：
Bonnie O'day
中科院分区：
文献类型：
--
作者：
L. Iezzoni;Bonnie O'day
今天，近20%的美国人患有某种残疾，随着人口老龄化，这一数字将在未来几十年内增长。尽管如此，美国的医疗保健系统并没有为残疾人提供舒适，安全和有效的护理。因此，残疾人在获得高质量医疗保健方面可能面临重大障碍。有些障碍是由明显的障碍物造成的，例如没有自动开启装置的门和过高的检查台。其他障碍来自患者和医疗保健专业人员之间的沟通失误，包括临床医生对残疾人的日常生活、偏好、价值观和能力的误解。然而，其他障碍涉及健康保险对最大限度地提高健康和独立性所必需的物品和服务的限制。这本书探讨了盲人，聋人，重听人，或有困难的人使用他们的腿，手臂或手的医疗保健经验。然后，该书概述了克服或规避护理障碍的战略，首先是询问残疾人可行的解决方案。为残疾人创造安全和可获得的医疗保健，可能会在某个时候使每个人受益。本书分为三个部分。第一部分着眼于美国残疾人医疗保健服务的历史根源。第二部分讨论了残疾人的现状和特殊挑战。第三部分期待讨论如何提高医疗质量和获得医疗服务的机会。
Nearly twenty percent of Americans live today with some sort of disability, and this number will grow in coming decades as the population ages. Despite this, the US health care system is not set up to provide care comfortably, safely, and efficiently to persons with disabilities. Individuals with disabilities can therefore face significant barriers to obtaining high quality health care. Some barriers result from obvious impediments, such as doors without automatic openers and examining tables that are too high. Other barriers arise from faulty communication between patients and health care professionals, including misconceptions among clinicians about the daily lives, preferences, values, and abilities of persons with disabilities. Yet additional barriers relate to health insurance limits on items and services essential to maximizing health and independence. This book examines the health care experiences of persons who are blind, deaf, hard of hearing, or who have difficulties using their legs, arms, or hands. The book then outlines strategies for overcoming or circumventing barriers to care, starting by just asking persons with disabilities about workable solutions. Creating safe and accessible health care for persons with disabilities will likely benefit everyone at some point. This book has three parts. The first part looks at the historical roots of healthcare access for persons with disabilities in the United States. The second part discusses the current situation and the special challenges for those with disabilities. The third part looks forward to discuss the ways in which healthcare quality and access can improve.