US Physicians' Knowledge About The Americans With Disabilities Act And Accommodation Of Patients With Disability.

US Physicians' Knowledge About The Americans With Disabilities Act And Accommodation Of Patients With Disability.
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DOI:
10.1377/hlthaff.2021.01136
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发表时间:
2022-01
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;Lagu T;Pendo E;Campbell EG

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自《美国残疾人法》(ADA)颁布以来的30多年里,残疾人继续经历着医疗保健的不平等。ADA要求残疾患者获得合理的便利。在我们对714名美国门诊医生的调查中,35.8%的人报告说他们对ADA规定的法律的责任知之甚少或一无所知,71.2%的人错误地回答了由谁决定合理的住宿,20.5%的人没有正确地确定谁为这些住宿付费,68.4%的人认为他们有ADA诉讼的风险。那些认为缺乏正规教育或培训是照顾残疾患者的中度或较大障碍的医生更有可能报告他们对法律规定的责任知之甚少或一无所知,并且更有可能相信他们有ADA诉讼的风险。为了实现残疾患者的公平护理和社会正义,需要作出相当大的改进,以教育医生,并使医疗保健提供系统更容易获得和提供便利。
Over 30 years since enactment of the Americans with Disabilities Act (ADA), people with disability continue experiencing health care disparities. The ADA mandates that patients with disability receive reasonable accommodations. In our survey of 714 U.S. physicians in outpatient practices, 35.8 percent reported knowing little or nothing about their legal responsibilities under the ADA, 71.2 percent answered incorrectly about who determines reasonable accommodations, 20.5 percent did not correctly identify who pays for these accommodations, and 68.4 felt that they were at risk of ADA lawsuits. Physicians who felt that lack of formal education or training was a moderate or large barrier to caring for patients with disability were more likely to report little or no knowledge of their responsibilities under the law and were more likely to believe they were at risk of an ADA lawsuit. To achieve equitable care and social justice for patients with disability, considerable improvements are needed to educate physicians and make health care delivery systems more accessible and accommodating.
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