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How Health Care Organizations Are Implementing Disability Accommodations for Effective Communication: A Qualitative
Joint Commission Journal on Quality and Patient Safety
|June 15, 2024
Summary
Healthcare organizations need executive support and tailored strategies to provide communication accommodations for all patients with disabilities. This ensures equitable health care access beyond just interpreter services.
Area of Science:
- Health Services Research
- Health Equity
- Disability Studies
Background:
- Federal mandates exist for healthcare accommodations for patients with communication disabilities.
- Clinicians infrequently provide these accommodations, hindering equitable health care engagement.
- Limited empirical research exists on organizational approaches to implementing these accommodations.
Purpose of the Study:
- To explore how US healthcare organizations implement communication accommodations.
- To identify the types of communication accommodations provided.
- To determine the disability populations addressed by these accommodations.
Main Methods:
- Conducted 19 qualitative interviews with disability coordinators from 15 US healthcare organizations.
- Utilized a conventional qualitative content analysis approach for data coding and theme derivation.
Main Results:
- Implementation requires executive leadership support and organizational/clinic-level preparation.
- Sign language interpreter services for Deaf patients were the primary focus, followed by hearing and visual accommodations.
- Accommodations for speech, language, and cognitive disabilities were less frequent and more complex.
Conclusions:
- Organization-level factors significantly impact the consistent provision of communication accommodations.
- Targeted implementation strategies are needed to ensure equitable healthcare access for all patients with communication disabilities.
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