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Standards of Care I

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Surveys02:16

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Health care access and the Americans with Disabilities Act: A mixed methods study.

Anne Ordway1, Chris Garbaccio1, Michael Richardson1

  • 1Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, USA.

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People with disabilities still face healthcare access barriers despite the Americans with Disabilities Act (ADA). The Affordable Care Act (ACA) may strengthen ADA requirements for equal healthcare access.

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ACAADAAccessibilityHealth careHealth disparity

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Area of Science:

  • Healthcare Access
  • Disability Rights Law
  • Public Health Policy

Background:

  • The Americans with Disabilities Act (ADA) mandates equal healthcare access for individuals with disabilities.
  • Previous research suggests the ADA has had limited success in transforming healthcare delivery systems.

Purpose of the Study:

  • To investigate current healthcare access barriers for people with disabilities under the ADA.
  • To analyze the impact of healthcare reform on disability access to care.

Main Methods:

  • A mixed-methods, multiphase design was employed.
  • Phase one involved surveys and focus groups with individuals with disabilities.
  • Phase two included key informant interviews with stakeholders responsible for ensuring equal access.

Main Results:

  • Despite healthcare reform, significant barriers to healthcare access persist for people with disabilities under the ADA.
  • The Patient Protection and Affordable Care Act (ACA) appears to reinforce ADA mandates for healthcare access.

Conclusions:

  • Findings support a thorough review of national standards for accessible healthcare.
  • Enhanced enforcement of anti-discrimination laws based on disability is recommended.