'I Am Not The Doctor For You': Physicians' Attitudes About Caring For People With Disabilities.
'I Am Not The Doctor For You': Physicians' Attitudes About Caring For People With Disabilities.
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DOI：
10.1377/hlthaff.2022.00475
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发表时间：
2022-10
期刊：
影响因子：
9.7
通讯作者：
Iezzoni, Lisa I.
中科院分区：
文献类型：
--
作者：
Lagu, Tara;Haywood, Carol;Reimold, Kimberly;DeJong, Christene;Sterling, Robin Walker;Iezzoni, Lisa I.
残疾人在试图获得医疗保健服务时面临障碍。通过对三个医生焦点小组的定性分析，我们确定了照顾残疾人的物理，沟通，知识，结构和态度障碍。医生们报告说，他们对行医的要求和1990年《美国残疾人法》的要求感到不知所措;特别是，他们觉得自己的住宿费报销不足。一些医生报告说，由于这些问题，他们试图让残疾人出院。要增加残疾人获得保健的机会，就需要增加空间的无障碍性和适当设备的可获得性，改善对临床医生关于残疾人护理的教育，并消除保健提供系统中的结构性障碍。我们的研究结果还表明，医生的偏见和一般不愿意照顾残疾人发挥了作用，在延续他们的医疗保健差距的经验。
People with disabilities face barriers when attempting to gain access to health care settings. Using qualitative analysis of three physician focus groups, we identified physical, communication, knowledge, structural, and attitudinal barriers to care for people with disabilities. Physicians reported feeling overwhelmed by the demands of practicing medicine in general and the requirements of the Americans with Disabilities Act of 1990 specifically; in particular, they felt that they were inadequately reimbursed for accommodations. Some physicians reported that because of these concerns, they attempted to discharge people with disabilities from their practices. Increasing health care access for people with disabilities will require increasing the accessibility of space and the availability of proper equipment, improving the education of clinicians about the care of people with disabilities, and removing structural barriers in the health care delivery system. Our findings also suggest that physicians’ bias and general reluctance to care for people with disabilities play a role in perpetuating the health care disparities they experience.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
2.9
作者：
KITZINGER, J
通讯作者：
KITZINGER, J
DOI：
10.1016/j.jcjq.2021.05.007
发表时间：
2021-09-21
影响因子：
2.3
作者：
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通讯作者：
Wong, Alicia A.
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5.7
作者：
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通讯作者：
Phelan, Sean
影响因子：
4.5
作者：
Reichard, Amanda;Stolzle, Hayley;Fox, Michael H.
通讯作者：
Fox, Michael H.