US Physicians’ Knowledge About The Americans With Disabilities Act And Accommodation Of Patients With Disability

Iezzoni, Lisa I.; Rao, Sowmya R.; Ressalam, Julie; Bolcic‐Jankovic, Dragana; Agaronnik, Nicole; Lagu, Tara; Pendo, Elizabeth; Campbell, Eric G.

doi:10.1377/hlthaff.2021.01136

Cited by 55 publications

(29 citation statements)

References 33 publications

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“…Study participants, however, described challenges and offered recommendations for meeting the unique, diverse needs of individuals living with both disability and OUD/SUD. These challenges reflect the broader literature about health care professionals addressing disability, such as a lack of knowledge about or discomfort with disability and accommodations [ 48 , 49 ]. While a “one size fits all” approach may not be possible or advisable, certain considerations would seem to be cross-cutting.…”

Section: Discussionmentioning

confidence: 99%

Peer Support at the Intersection of Disability and Opioid (Mis)Use: Key Stakeholders Provide Essential Considerations

Nicholson

Valentine

Ledingham

et al. 2022

IJERPH

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Individuals with disabilities may experience higher rates of opioid/substance use disorders (OUD/SUD) than other individuals and are likely vulnerable to unmet treatment needs. Peer support may be beneficial to these individuals, given the evidence of benefits in target populations with similar needs and the potential for overcoming barriers to treatment suggested in the available literature. The objective of this exploratory study was to specify essential considerations in adapting peer support for this population. Diverse key stakeholders (n = 16) were interviewed to explore the experiences, needs, and available supports for individuals with disabilities and OUD/SUD. A Peer Support Work Group including members with lived experience advised each component of the study. Semi-structured interview data were content analyzed and memos generated to summarize themes related to the research question. Participants reported extensive professional and personal experience in human services, disability, and recovery. Emergent themes included the importance of accessibility and model fit, the notion of “peerness” and peer match, and essential aspects of peer recruitment, training, and support. An accessible, acceptable, effective model of peer support requires particular attention to the needs of this diverse and varied population, and the contexts in which they are identified, referred, and engaged in services.

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Section: Discussionmentioning

confidence: 99%

Peer Support at the Intersection of Disability and Opioid (Mis)Use: Key Stakeholders Provide Essential Considerations

Nicholson

Valentine

Ledingham

et al. 2022

IJERPH

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“…based on human rights principles, it has not percolated down in principle. [28][29][30][31] There is a growing need for physicians to realise that disability is a social construct, and be it in teaching or practice, disabilities must not be taken as a legitimate ground for the denial or restriction of human rights. On this account, researchers have been calling for disability cultural competencies within health care settings to implement justice and autonomy and statutory bodies writing to accreditation bodies to mandatory include it in the BME and PME.…”

Section: Deming Point 4: Move Towards a Single Supplier For Any One I...mentioning

confidence: 99%

“…Medical education's social accountability implies a commitment and ability to respond to the requirements of patients and health care systems on a national and global scale 27 . Despite the Convention on the Rights of Persons with Disabilities in 2006, and the World Report on Disability in 2011 emphasising institutions to ensure disability training based on human rights principles, it has not percolated down in principle 28–31 …”

Section: Deming's Points As Applied To Disability Inclusionmentioning

confidence: 99%

Disability inclusion in medical education: Towards a quality improvement approach

Singh

Meeks

2022

Medical Education

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The Issue The shift to a more diverse workforce that includes physicians with disabilities has gained considerable international traction. Indeed, disability inclusion is experiencing a renaissance in medical education. However, the philosophy of disability inclusion must be adjusted from one where disabled trainees are viewed as problematic and having to ‘overcome’ disability to one where institutions anticipate and welcome disabled trainees as a normative part of a diverse community. Observations Most trainees with disabilities will enter an unregulated, uninformed system leaving them vulnerable to under‐accommodation, systems barriers and lack of informed support. Further, the perception of the super human good doctor creates disincentives for candidates to disclose their disability, creating structural barriers that the system needs to address. A less often discussed contributor to health care inequities is the inadequate training of health professional educators on disability rights and disability competencies. Indeed, the lack of education, coupled with minimal exposure to disability outside of the hierarchical patient‐provider relationship, perpetuates to stereotypes and biases that impact clinical care. Approach Disability inclusion has not been reviewed through the lens of quality improvement. To close this gap, we examine the state of the science through the lens of disability inclusion and offer considerations for a quality improvement approach in medical education that addresses the global revised trilogy of World Federation for Medical Education standards of quality improvement at all three levels of education, training and practice. Conclusion We propose a vision of systems‐based disability‐inclusive, accessible and equitable medical education using 9 of Deming's 14 points as applicable to medical education.

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“…Further, the disparities in physician knowledge around disabilities was demonstrated through a study by Lisa Iezzoni et al who found that 35.8% of physicians knew little or nothing about their legal responsibilities under the Americans with Disabilities Act and 68.4% felt that they would be at risk for ADA lawsuits. 8 …”

Section: Policy Options Opportunities and Further Researchmentioning

confidence: 99%

Accommodating Developmental Disabilities in the Social Determinants of Health:

Mohan¹,

Roberts²

2022

Delaware Journal of Public Health

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This commentary outlines the methods and findings of a preliminary study examining the fitness of the Social Determinants of Health in their current conceptualizations for accommodating the specific and general experiences of individuals with developmental disabilities and suggests recommendations for both additional research and policy interventions. The study is based on research conducted with individuals with intellectual and developmental disabilities living in Delaware and other stakeholders working in this community. There is currently extensive literature concerning the validity and importance of including the social determinants of health in healthcare decision-making, but very little research exists around the intersection of developmental disabilities and these determinants. This commentary provides additional detail and added emphasis to calls previously made in this Journal to align social determinants with developmental disabilities and the importance of considering the SDOH in policy measures aimed at supporting this population. The ultimate aim of the work presented here is to explore how the State’s interest in putting the SDOH to work generally can be aligned to accommodate the needs and interests of individuals with I/DD and to identify future research and policy interventions in support of these efforts.

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US Physicians’ Knowledge About The Americans With Disabilities Act And Accommodation Of Patients With Disability

Cited by 55 publications

References 33 publications

Peer Support at the Intersection of Disability and Opioid (Mis)Use: Key Stakeholders Provide Essential Considerations

Peer Support at the Intersection of Disability and Opioid (Mis)Use: Key Stakeholders Provide Essential Considerations

Disability inclusion in medical education: Towards a quality improvement approach

Accommodating Developmental Disabilities in the Social Determinants of Health:

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