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Disability-affirmative integrated primary care.

Colleen Clemency Cordes1

  • 1College of Health Solutions.

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Summary

Healthcare professionals must recognize diverse patient identities, especially for people with disabilities (PWD). Pamela Hays' ADDRESSING model offers a framework for understanding these intersecting identities in integrated health care settings.

Area of Science:

  • Health Services Research
  • Cultural Competency in Healthcare
  • Disability Studies

Background:

  • Integrated healthcare requires understanding patient diversity.
  • People with disabilities (PWD) constitute over 25% of the US population.
  • Disability encompasses varied functional differences across the lifespan.

Purpose of the Study:

  • To highlight the need for antiracist and culturally responsive healthcare.
  • To introduce Pamela Hays' ADDRESSING model as a framework for understanding intersecting identities.
  • To emphasize the application of the ADDRESSING model for patients with disabilities.

Main Methods:

  • Literature review and conceptual framework application.
  • Utilizing Pamela Hays' ADDRESSING model (Age, Disability, Religion, Ethnicity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, Gender).

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  • Analysis of the intersectionality of diverse identities, particularly for PWD.

    • Main Results:

    • The ADDRESSING model provides a comprehensive approach to patient identity.
    • Understanding intersectional identities is crucial for effective patient care.
    • Disability is a diverse experience requiring tailored health approaches.

    Conclusions:

    • Antiracist and culturally responsive healthcare necessitates acknowledging patient intersectionality.
    • The ADDRESSING model is a valuable tool for clinicians working with diverse populations, including PWD.
    • Integrated health care must address the varied lived experiences of people with disabilities.