Physicians' Perceptions Of People With Disability And Their Health Care.

Physicians' Perceptions Of People With Disability And Their Health Care.
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DOI:
10.1377/hlthaff.2020.01452
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发表时间:
2021-03
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Campbell EG
Campbell EG
中科院分区:
其他
文献类型:
--
作者:
Iezzoni LI;Rao SR;Ressalam J;Bolcic-Jankovic D;Agaronnik ND;Donelan K;Lagu T;Campbell EG

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超过6100万美国人有残疾,越来越多的证据表明他们在医疗保健方面存在差距。虽然有许多因素可能导致这些差异,但一个很少研究但潜在的原因涉及医生对残疾人的看法。我们对美国全国714名执业医生的调查发现,82.4%的人报告说,严重残疾的人的生活质量比非残疾的人差。只有40.7%的医生对他们为残疾患者提供同等质量的护理的能力非常有信心,只有56.5%的医生强烈同意他们欢迎残疾患者进入他们的诊所,18.1%的医生强烈同意卫生保健系统经常不公平地对待这些患者。在《美国残疾人法案》颁布30多年后,这些关于医生对这一人群的看法的发现提出了如何确保公平对待残疾人的问题。医生中潜在的偏见观点可能会导致影响残疾人的持续医疗保健差异。
Over 61 million Americans have disabilities, and increasing evidence documents that they experience health care disparities. While many factors likely contribute to these disparities, one little-studied but potential cause involves physicians’ perceptions of people with disability. Our survey of 714 practicing U.S. physicians nationwide found that 82.4% reported that people with significant disability have worse quality of life than nondisabled people. Only 40.7% of physicians were very confident about their ability to provide equal quality care to patients with disability, just 56.5% strongly agreed they welcome disabled patients into their practices, and 18.1% strongly agreed that the health care system often treats these patients unfairly. More than 30 years after the Americans with Disabilities Act, these findings about physicians’ perceptions of this population raise questions about ensuring equitable care to people with disability. Potentially biased views among physicians could perhaps contribute to persistent health care disparities affecting people with disability.
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