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Updated: Sep 4, 2025

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Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
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Striving Toward Equity in Health Care for People With Communication Disabilities.
1Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora.
Summary
Individuals with communication disabilities face significant health disparities. Addressing these requires understanding contributing factors and developing targeted interventions through collaboration.
Area of Science:
- Health Disparities Research
- Communication Sciences and Disorders
- Disability Studies
Background:
- Approximately 10% of U.S. adults have communication disabilities (speech, language, voice).
- Persons with communication disabilities experience worse health and healthcare outcomes.
- Understanding these disparities is crucial for effective intervention.
Purpose of the Study:
- To provide a comprehensive perspective on the health and healthcare outcomes of individuals with communication disabilities.
- To explore factors contributing to health disparities in this population.
Main Methods:
- Historical lens and multiple disability models were applied.
- Analysis of 2012 National Health Interview Survey data.
- Examination of healthcare system factors and provider biases.
Main Results:
- Population-level data reveal significant health and healthcare disparities for individuals with communication disabilities.
- Healthcare system factors, including communication aid availability and provider bias, contribute to disparities.
- Few interventions currently exist to address these care gaps.
Conclusions:
- Collaboration among researchers, policymakers, patients, and healthcare systems is essential for equity.
- Identifying and addressing factors contributing to disparities is a critical next step.
- Innovative study designs are needed for rapid intervention development and dissemination.
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