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Preventive Gynecologic Care for Patients With Disabilities
Julie P Barbera1, Beth I Schwartz2,3
1Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania.
Abstract:
Patients with disabilities face significant disparities in preventive gynecologic care due to systemic barriers, limited provider training, and pervasive bias. These challenges contribute to reduced uptake of HPV vaccination, cervical and breast cancer screening, resulting in higher rates of late-stage diagnoses and mortality. Gynecologic clinicians play a critical role in addressing these inequities by fostering autonomy-centered communication, providing appropriate accommodations, and adhering to evidence-based screening guidelines. This review summarizes key practices to enhance preventive care for patients with disabilities and highlights areas of needed improvement in clinical training, clinical environments, and access to cancer prevention services.
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