Access Barriers for Persons with Disabilities

Scheer, Jessica; Kroll, Thilo; Neri, Melinda T.; Beatty, Phillip W.

doi:10.1177/104420730301300404

Cited by 141 publications

(162 citation statements)

References 10 publications

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“…Iezzoni (11,13,94,138). Their studies describe a range of issues, including structural problems in physical environments, transportation, financial issues, and personal factors.…”

Section: Discussionmentioning

confidence: 99%

“…Distinguishing between the different health problems of people with disabilities and understanding whether there is a relation between a particular problem and a pre-existing disability is a difficult task at which all health professionals do not succeed (94). Additionally, in some cases the complex conditions of people with disabilities call for specific treatments that a health care…”

Section: Knowledge Of Health Care Professionals About People With Dismentioning

confidence: 99%

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Access to Dental Services for People Using a Wheelchair

2015

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Objectives. We investigated the perspectives of people using a wheelchair and their difficulties in accessing dental services. Methods. Our participatory research was on the basis of a partnership between people using a wheelchair, dental professionals, and academic researchers. Partners were involved in a committee that provided advice at all stages of the project. Our team adopted a qualitative descriptive design. Between October 2011 and October 2012 we conducted semistructured individual interviews with 13 adults who lived in Montreal, Québec, Canada, and used a wheelchair full time. We audio-recorded and transcribed verbatim interviews, and we interpreted data using an inductive thematic analysis. Results. Oral health is of heightened importance to this group of people, who tend to use their mouth as a “third hand.” We identified successive challenges in accessing dental services: finding a dentist and being accepted, organizing transportation, entering the building and circulating inside, interacting with the dental staff, transferring and overcoming discomfort on the dental chair, and paying for the treatments. Conclusions. Governments, dental professional bodies, dental schools, and researchers should work with groups representing wheelchair users to improve access to dental services.

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“…Iezzoni (11,13,94,138). Their studies describe a range of issues, including structural problems in physical environments, transportation, financial issues, and personal factors.…”

Section: Discussionmentioning

confidence: 99%

Section: Knowledge Of Health Care Professionals About People With Dismentioning

confidence: 99%

Access to Dental Services for People Using a Wheelchair

2015

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“…25,26 Promotion of "disability literacy" for all medical staff, which includes mandatory training and professional development activities on topics relevant to the health care needs of patients with disabilities, has been proposed as one solution. 27,28 Still, as this study highlights, any training program that focuses on health care needs of patients with disabilities must incorporate ample sensitivity training for all staff, including non-professionals. Interventions available right now such as patient portals and secure patient messaging do not require speaking and may help ease the burden of patients who stutter when managing common health tasks.…”

Section: Discussionmentioning

confidence: 99%

“…We grouped participants into three focus groups based on age category (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), 50+ years) with the goal of enhancing participants' comfort discussing health-related information. All focus groups were conducted by H.R.P., a physician who stutters, during the NSA conference, and lasted 45-60 min.…”

Section: Data Collectionmentioning

confidence: 99%

“Not Unless It’s a Life or Death Thing”: A Qualitative Study of the Health Care Experiences of Adults Who Stutter

2015

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BACKGROUND:For adults who stutter, communication difficulties can impact many spheres of life. Previous studies have not examined how stuttering might impact patient's experiences with the medical system. OBJECTIVE: Our objective was to understand the range and depth of experiences with the medical system among adults who stutter. DESIGN: This was a qualitative study using age-stratified focus groups. PARTICIPANTS: Sixteen adults who stutter were recruited at a national conference about stuttering. APPROACH: We conducted three focus groups. Participants also completed a written questionnaire about sociodemographic characteristics, health status, and the impact of stuttering on their life [using the St. Louis Inventory of Life Perspectives Scale (SL-ILP-S) Total Effect Score]. We analyzed data using an iterative, thematic analysis, with an inductive approach, at a semantic level. KEY RESULTS: Participants were mostly (75 %) male and resided throughout the United States. The mean SL-ILP-S Total Effect Score was 27.3, indicating that stuttering caused minimal concern in participants' lives. Despite this, we identified five themes that characterize ways in which stuttering affects interactions with the medical system. Participants described (1) discomfort speaking with office staff and physicians, which resulted in (2) avoiding health care interactions because of stuttering, and (3) relying on a third party to navigate the medical system. During visits with physicians, participants felt that (4) discussing stuttering with physicians required trust and rapport, and (5) speaking assertively with physicians required selfacceptance of their stuttering. CONCLUSIONS: We identified ways in which stuttering affects medical interactions. These results highlight the need for increased awareness and training for medical staff and physicians when caring for persons who stutter. Future studies among diverse samples of stutterers can determine the effects of stuttering on medical interactions, and inform the development of interventions to provide high quality health care for adults who stutter.

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“…Naturally, the best quality of care is realized when the right treatments are provided at the right time [5]. Rehabilitation care professionals indicate that a short access time [6], a simultaneous start with the various disciplines, and the continuity of the rehabilitation process should be guaranteed. In addition, the complexity of rehabilitation care carries the risk of both undertreatment and overtreatment [7].…”

Section: Introductionmentioning

confidence: 99%

Integral multidisciplinary rehabilitation treatment planning

Braaksma

Kortbeek

Post

et al. 2014

Operations Research for Health Care

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This paper presents a methodology to plan treatments for rehabilitation outpatients. These patients require a series of treatments by therapists from various disciplines. In current practice, when treatments are planned, a lack of coordination between the different disciplines, along with a failure to plan the entire treatment plan at once, often occurs. This situation jeopardizes both the quality of care and the logistical performance.The multidisciplinary nature of the rehabilitation process complicates planning and control. An integral treatment planning methodology, based on an integer linear programming (ILP) formulation, ensures continuity of the rehabilitation process while simultaneously controlling seven performance indicators including access times, combination appointments, and therapist utilization. We apply our approach to the rehabilitation outpatient clinic of the Academic Medical Center (AMC) in Amsterdam, the Netherlands. Based on the results of this case, we are convinced that our approach can be valuable for decision-making support in resource capacity planning and control at many rehabilitation

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Access Barriers for Persons with Disabilities

Cited by 141 publications

References 10 publications

Access to Dental Services for People Using a Wheelchair

Access to Dental Services for People Using a Wheelchair

“Not Unless It’s a Life or Death Thing”: A Qualitative Study of the Health Care Experiences of Adults Who Stutter

Integral multidisciplinary rehabilitation treatment planning

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