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Article
Accommodations for Patients with Disabilities in Primary Care: A Mixed Methods Study of Practice Administrators
Global Journal of Health Science (2014)
  • Jennifer Pharr, University of Nevada, Las Vegas
Abstract

Structural barriers that limit access to health care services for people with disabilities have been identified through qualitative studies; however, little is known about how patients with disabilities are accommodated in the clinical setting when a structural barrier is encountered. The purpose of this study was to indentify how primary care medical practices in the United States accommodated people with disabilities when a barrier to service is encountered. Primary care practice administrators from the medical management organization were identified through the organization’s website. Sixty-three administrators from across the US participated in this study. Practice administrators reported that patients were examined in their wheelchairs (76%), that parts of the exam were skipped when a barrier was encountered (44%), that patients were asked to bring someone with them (52.4%) or that patients were refused treatment due to an inaccessible clinic (3.2%). These methods of accommodation would not be in compliance with requirements of the Americans with Disabilities Act. There was not a significant difference (p > 0.05) in accommodations for patients with disabilities between administrators who could describe the application of the ADA to their clinic and those who could not. Practice administrators need a comprehensive understanding of the array of challenges encountered by patients with disabilities throughout the health care process and of how to best accommodate patients with disabilities in their practice.

Keywords
  • Disability,
  • Health care access,
  • Americans with Disabilities Act,
  • Accommodations,
  • Primary Care
Publication Date
2014
Citation Information
Jennifer Pharr. "Accommodations for Patients with Disabilities in Primary Care: A Mixed Methods Study of Practice Administrators" Global Journal of Health Science Vol. 6 Iss. 1 (2014)
Available at: http://works.bepress.com/jennifer_pharr/12/