Use of Accessible Weight Scales and Examination Tables/Chairs for Patients with Significant Mobility Limitations by Physicians Nationwide.
Use of Accessible Weight Scales and Examination Tables/Chairs for Patients with Significant Mobility Limitations by Physicians Nationwide.
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DOI：
10.1016/j.jcjq.2021.06.005
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发表时间：
2021-10
影响因子：
2.3
通讯作者：
Campbell EG
中科院分区：
文献类型：
--
作者：
Iezzoni LI;Rao SR;Ressalam J;Bolcic-Jankovic D;Donelan K;Agaronnik N;Lagu T;Campbell EG
行动不便是6100万美国残疾人中最常见的残疾类型。对行动不便患者的研究表明，无法获得医疗诊断设备对护理构成重大障碍。我们在全国范围内随机选择了代表7个专业的美国医生，调查他们在照顾行动不便的患者时使用无障碍体重秤和检查桌/椅的情况。我们对回答进行了描述性分析，并使用多变量逻辑回归来检查无障碍设备与参与者特征之间的关联。714名参与者（调查响应率= 61%）主要是男性，白色，城市，并已实践了20年或更长时间。在报告常规记录患者体重的患者中（n = 399），只有22.6%（SE = 2.2）报告总是或通常使用可访问的体重秤测量严重活动受限的患者。8.1%的患者经常询问活动受限患者的体重，24.3%的患者经常询问活动受限患者的体重，40.0%的患者有时询问活动受限患者的体重。执业≥ 20年的医生比其他医生更不可能使用可访问的体重量表：比值比（OR，95%CI）= 0.51（0.26，0.99）。在就诊的患者中（n = 584），只有40.3%（2.2）的患者总是或通常使用无障碍检查桌椅。专科医生比初级保健医生更有可能使用无障碍检查桌椅：OR = 1.96（1.29，2.99）。在《美国残疾人法》颁布30多年后，大多数接受调查的医生都没有使用无障碍设备对患有慢性严重行动不便的患者进行常规护理。
Mobility limitations are the most common disability type among the 61 million Americans with disability. Studies of patients with mobility limitations suggest that inaccessible medical diagnostic equipment poses significant barriers to care. We surveyed randomly selected U.S. physicians nationwide representing 7 specialties about their reported use of accessible weight scales and exam tables/chairs when caring for patients with mobility limitations. We performed a descriptive analysis of responses and used multivariable logistic regression to examine associations between accessible equipment and participants’ characteristics. The 714 participants (survey response rate = 61%) were primarily male, White, urban, and had practiced for 20 or more years. Among those reporting routinely recording patients’ weights (n = 399), only 22.6% (SE = 2.2) reported always or usually using accessible weight scales for patients with significant mobility limitations. To determine weights of patients with mobility limitations, 8.1% always, 24.3% usually, and 40.0% sometimes asked patients. Physicians practicing ≥ 20 years were much less likely than other physicians to use accessible weight scales: odds ratio (OR, 95% CI) = 0.51 (0.26, 0.99). Among participants seeing patients with significant mobility limitations (n = 584), only 40.3% (2.2) always or usually used accessible exam tables or chairs. Specialists were much more likely than primary care physicians to use accessible exam tables/chairs: OR = 1.96 (1.29, 2.99). More than 30 years after enactment of the Americans with Disabilities Act, most physicians surveyed do not use accessible equipment for routine care of patients with chronic significant mobility limitations.
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DOI：
10.1377/hlthaff.2020.01452
发表时间：
2021-03
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Iezzoni LI;Rao SR;Ressalam J;Bolcic-Jankovic D;Agaronnik ND;Donelan K;Lagu T;Campbell EG
通讯作者：
Campbell EG
影响因子：
2.6
作者：
Fragala, Guy
通讯作者：
Fragala, Guy
影响因子：
3.5
作者：
Iezzoni, Lisa I.;Wint, Amy J.;Ecker, Jeffrey L.
通讯作者：
Ecker, Jeffrey L.
四种常见癌症与残疾之间关联的横断面分析。
DOI：
10.6004/jnccn.2020.7551
发表时间：
2020-08
期刊：
Journal of the National Comprehensive Cancer Network : JNCCN
影响因子：
--
作者：
Iezzoni LI;Rao SR;Agaronnik ND;El-Jawahri A
通讯作者：
El-Jawahri A
影响因子：
4.5
作者：
Graham, Catherine Leigh;Mann, Joshua R.
通讯作者：
Mann, Joshua R.