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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
  • Jennifer Renee Pharr, University of Nevada, Las Vegas
Document Type
Article
Publication Date
10-8-2013
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 identify 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 healthcare process and of how to best accommodate patients with disabilities in their practice.

Keywords
  • Accommodations,
  • Americans with Disabilities Act,
  • Barrier-free design,
  • Disabled Persons/legislation & jurisprudence,
  • Disabled Persons/statistics & numerical data,
  • Female,
  • Health care access,
  • Health Care Surveys/legislation & jurisprudence,
  • Health Care Surveys/methods,
  • Health Care Surveys/statistics & numerical data,
  • Health services accessibility,
  • Health services accessibility--Law and legislation,
  • Health Services Accessibility/legislation & jurisprudence,
  • Health Services Accessibility/statistics & numerical data,
  • Health Services Needs and Demand/legislation & jurisprudence,
  • Health Services Needs and Demand/statistics & numerical data,
  • Humans,
  • Male,
  • Medical care surveys,
  • Men,
  • Middle Aged,
  • People with disabilities,
  • Primary care,
  • Primary care (Medicine),
  • Primary health care,
  • Primary health care--Government policy,
  • Primary Health Care/legislation & jurisprudence,
  • Primary Health Care/methods,
  • Refusal to treat,
  • Refusal to Treat/legislation & jurisprudence,
  • Refusal to Treat/statistics & numerical data,
  • United States,
  • Wheelchairs,
  • Women
Language
English
Permissions
Use Find in Your Library, contact the author, or interlibrary loan to garner a copy of the item. Publisher policy does not allow archiving the final published version. If a post-print (author's peer-reviewed manuscript) is allowed and available, or publisher policy changes, the item will be deposited.
Identifier
DOI: 10.5539/gjhs.v6n1p23
Citation Information
Jennifer Renee 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 (2013) p. 23 - 32
Available at: http://works.bepress.com/jennifer_pharr/23/