The Axes of Access - Improving Care for Patients with Disabilities

被引：54
|
作者：
Lagu, Tara [1 ,2 ,3 ]
Iezzoni, Lisa I. [4 ,5 ]
Lindenauer, Peter K. [1 ,2 ,3 ]
机构：
[1] Baystate Med Ctr, Ctr Qual Care Res, Springfield, MA 01199 USA
[2] Baystate Med Ctr, Div Gen Internal Med, Springfield, MA USA
[3] Tufts Univ, Sch Med, Dept Med, Boston, MA 02111 USA
[4] Massachusetts Gen Hosp, Mongan Inst Hlth Policy, Boston, MA 02114 USA
[5] Harvard Univ, Sch Med, Boston, MA USA
来源：
NEW ENGLAND JOURNAL OF MEDICINE | 2014年 / 370卷 / 19期
关键词：
PREVENTIVE SERVICES; ACCESSIBILITY; BARRIERS; WOMEN;
D O I：
10.1056/NEJMsb1315940
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The authors describe barriers to high-quality care for patients with disabilities and argue that systematic changes are needed to eliminate physical and communication barriers to accessing excellent care.It was Friday afternoon, and I had promised my patient's family that I would discharge her. Despite trying all day to make a follow-up appointment with the appropriate subspecialist, I could not find a practice within 50 miles of her home that could accommodate a patient who used a wheelchair. After I explained the situation and apologized, the patient said to me, You know, Doctor, it's like discrimination or something.The statement of the patient in the vignette is supported by a growing body of evidence that persons with disabilities confront barriers when attempting to access the health care system. ...
引用
收藏
页码：1847 / 1851
页数：5
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