Accessibility and accommodations for patients with mobility disabilities in a large healthcare system: How are we doing?
Accessibility and accommodations for patients with mobility disabilities in a large healthcare system: How are we doing?
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DOI：
10.1016/j.dhjo.2019.03.008
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发表时间：
2019-10-01
影响因子：
4.5
通讯作者：
Yeung, Yeu-Li
中科院分区：
文献类型：
--
作者：
Pharr, Jennifer R.;James, Tamara;Yeung, Yeu-Li
背景：由于无法获得医疗保健实践和医疗诊断设备 (MDE)，残疾人继续面临着健康差异。目的：本研究的目的是评估美国南大西洋地区大型医疗保健系统诊所中行动不便患者的无障碍性和便利性，以确定无障碍性是否因诊所类型而有所不同，并确定需要改进的领域以提高无障碍性。方法：这是一项在 2017 年 3 月至 6 月期间对 214 名医疗保健专业人员进行的横断面研究。 2018。卡方检验和方差分析用于比较初级保健、医院和私人诊断诊所之间的可及性。结果：相对较高比例的受访者表示，他们的诊所已经实施了许多可及性功能。然而，不同诊所类型之间存在显着差异，初级保健诊所可以更好地获得 MDE，包括高度可调节检查台、带扶手的秤、轮椅无障碍秤或带衬垫的腿部支撑。然而，初级保健诊所不太可能配备用于转移患者的电梯。患有 MDE 的诊所比例高于之前研究报告的比例，这可能是由于医疗保健系统实施了安全的患者处理和流动计划。遇到护理障碍时为患者提供的住宿仍然是一个需要改进的领域。结论：虽然在该医疗保健系统中残疾人的无障碍程度更高，但仍确定了需要改进的领域，以帮助医疗保健专业人员为残疾患者提供护理。 (c) 2019 Elsevier Inc. 保留所有权利。
Background: People with disabilities continue to experience health disparities resulting from inaccessibility of healthcare practices and medical diagnostic equipment (MDE).Objective: The purpose of this study was to evaluate the accessibility of and accommodations for patients with mobility disabilities in clinics of a large healthcare system in the South Atlantic division of the U.S., to determine if accessibility was different based on clinic type, and to identify areas for improvement to increase accessibility.Methods: This was a cross-sectional study of 214 healthcare professionals conducted between March and June of 2018. Chi square tests and ANOVA were used to compare accessibility between primary care, hospital based, and private diagnostic clinics.Results: A relatively high proportions of respondents reported that their clinic had implemented many accessible features. However, significant differences were found by clinic type with primary care clinics having better access to MDE including height adjustable exam tables, scales with handrails, wheelchair accessible scales, or padded leg supports. However, primary care clinics were less likely to have lifts for transferring patients. The percent of clinics with MDE was higher than that reported in previous studies which may be due to the safe patient handling and mobility program implemented at the healthcare system. Accommodations for patients when a barrier to care is encountered remain an area for improvement.Conclusion: While accessibility for people with disabilities was greater in this healthcare system, areas for improvement were identified to help healthcare professional care for their patients with disabilities. (c) 2019 Elsevier Inc. All rights reserved.