TY - JOUR
T1 - From inequity to access
T2 - Evidence-based institutional practices to enhance care for individuals with disabilities
AU - Rotoli, Jason
AU - Poffenberger, Cori
AU - Backster, Anika
AU - Sapp, Richard
AU - Modi, Payal
AU - Stehman, Christine R.
AU - Mirus, Carl
AU - Johnson, Luke
AU - Siegelman, Jeffrey N.
AU - Coates, Wendy C.
N1 - Publisher Copyright:
© 2023 Society for Academic Emergency Medicine.
PY - 2023/6
Y1 - 2023/6
N2 - People with disabilities experience barriers to care in all facets of health care, from engaging with the provider in a clinical setting (attitudinal and communication barriers) to navigating a large institution in a complex health care environment (organizational and environmental barriers), culminating in significant health care disparities. Institutional policy, culture, and physical layout may be inadvertently fostering ableism, which can perpetuate health care inaccessibility and health disparities in the disability community. Here, we present evidence-based interventions at the provider and institutional levels to accommodate patients with hearing, vision, and intellectual disabilities. Institutional barriers can be met with strategies of universal design (i.e., accessible exam rooms and emergency alerts), maximizing electronic medical record accessibility/visibility, and institutional policy development to recognize and reduce discrimination. Barriers at the provider level can be met with dedicated training on care of patients with disabilities and implicit bias training specific to the surrounding patient demographics. Such efforts are crucial to ensuring equitable access to quality care for these patients.
AB - People with disabilities experience barriers to care in all facets of health care, from engaging with the provider in a clinical setting (attitudinal and communication barriers) to navigating a large institution in a complex health care environment (organizational and environmental barriers), culminating in significant health care disparities. Institutional policy, culture, and physical layout may be inadvertently fostering ableism, which can perpetuate health care inaccessibility and health disparities in the disability community. Here, we present evidence-based interventions at the provider and institutional levels to accommodate patients with hearing, vision, and intellectual disabilities. Institutional barriers can be met with strategies of universal design (i.e., accessible exam rooms and emergency alerts), maximizing electronic medical record accessibility/visibility, and institutional policy development to recognize and reduce discrimination. Barriers at the provider level can be met with dedicated training on care of patients with disabilities and implicit bias training specific to the surrounding patient demographics. Such efforts are crucial to ensuring equitable access to quality care for these patients.
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U2 - 10.1002/aet2.10871
DO - 10.1002/aet2.10871
M3 - Article
C2 - 37383833
AN - SCOPUS:85163686783
SN - 2472-5390
VL - 7
SP - S5-S14
JO - AEM Education and Training
JF - AEM Education and Training
IS - S1
ER -