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Rethinking quality in the context of persons with disability.

A G Lawthers1, G S Pransky, L E Peterson

  • 1Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA 01545, USA. ann.lawthers@umassmed.edu

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|August 22, 2003
PubMed
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Improving quality of care for persons with disabilities requires a unique framework addressing clinical quality, patient safety, and coordination. Enhanced coordination among providers is crucial for better patient experiences and outcomes.

Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • Disability Studies

Background:

  • Persons with disabilities face unique challenges in accessing and receiving quality healthcare.
  • Existing quality of care frameworks may not adequately address the specific needs of individuals with disabilities.
  • Patient safety and quality of care are critical components of health services for all populations.

Purpose of the Study:

  • To review health services literature on quality of care for persons with disabilities.
  • To propose a unique conceptual framework for quality and patient safety issues in this population.
  • To identify key areas for improvement in healthcare delivery for individuals with disabilities.

Main Methods:

  • A comprehensive literature search was conducted using MEDLINE and other databases.

Related Experiment Videos

  • Keywords included 'quality of care,' 'patient safety,' 'access,' 'patient experience,' and 'coordination of care' combined with 'disability' or 'impairment.'
  • A multi-dimensional model of quality of care for persons with disability was formulated based on quality measurement theory.

    • Main Results:

    • Identified barriers include physical limitations, transportation issues, communication difficulties, and attitudinal factors from clients and providers.
    • Communication challenges can increase the risk of accidental injury and diminish the quality of the patient experience.
    • Coordination of care is a significant area for improvement, given the involvement of multiple medical and social providers.

    Conclusions:

    • A multi-disciplinary approach to quality is essential for healthcare providers serving persons with disabilities.
    • Flexible funding models are needed to support comprehensive primary care for this population.
    • Health service researchers should adopt a broad perspective on quality to encompass issues relevant to individuals with disabilities.