Knowledge Of Practicing Physicians About Their Legal Obligations When Caring For Patients With Disability
Knowledge Of Practicing Physicians About Their Legal Obligations When Caring For Patients With Disability
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DOI：
10.1377/hlthaff.2018.05060
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发表时间：
2019-04-01
期刊：
影响因子：
9.7
通讯作者：
Lezzoni, Lisa, I
中科院分区：
文献类型：
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作者：
Agaronnik, Nicole D.;Pendo, Elizabeth;Lezzoni, Lisa, I
残疾人民权法要求公平对待大约六千一百万美国残疾人。然而，联邦报告和大量研究表明，这个多样化且不断增长的人口经常遇到医疗保健差异。为了研究一个可能的影响因素，我们采访了执业医生，探讨他们对联邦民权法规定的照顾残疾患者的义务的了解。受访者表示，他们在三个潜在问题领域的义务几乎没有接受过正式培训，并且对其义务的理解很肤浅或不正确：决定他们的诊所应实施哪些便利措施、拒绝残疾患者以及让患者承担便利设施费用。事实上，执业医生在照顾残疾人时可能不完全了解自己的法律责任，这可能会导致他们的护理中持续存在不平等，这表明可能有必要对《美国残疾人法案》和其他残疾人民权法进行进一步的教育。
Disability civil rights laws require equitable treatment of the approximately sixty-one million Americans with disability. However, federal reports and numerous research studies indicate that this diverse and growing population often experiences health care disparities. To examine one possible contributing factor, we interviewed practicing physicians to explore their knowledge of their obligations to accommodate patients with disability under federal civil rights law. Interviewees reported having had little formal training about, and demonstrated superficial or incorrect understanding of, their obligations in three potentially problematic areas: deciding which accommodations their practices should implement, refusing patients with disability, and holding patients accountable for costs of accommodations. The fact that practicing physicians might not fully understand their legal responsibilities when caring for people with disability may contribute to persisting inequity in their care, and it suggests that further education in the Americans with Disabilities Act and other disability civil rights laws may be warranted.