From Disability Scoop:
“Doctors Know Little About
Their Obligations To People With Disabilities, Study Finds”
Three decades after the Americans
with Disabilities Act took effect, new research finds that many physicians
remain unaware of their obligations under the law when caring for people with
disabilities. More than a third of doctors surveyed had little or no knowledge
about their legal requirements under the ADA and 71% did not know who
determines reasonable accommodations. The findings come from a survey of 714
doctors in outpatient practices across the nation that was published this month
in the journal Health Affairs. “Despite the fact people with disabilities
comprise 25% of the population, they often confront barriers to basic health
care services such as physical examinations, weight measurement and effective
communication with their physicians,” said Dr. Lisa I. Iezzoni of Harvard
Medical School and Massachusetts General Hospital, the lead author of the
study. “The lack of knowledge about who makes accommodation decisions raises
troubling questions about health care quality and equity.”
The ADA bars discrimination
against people with disabilities, including in medical services. Under the law,
health care providers must work with patients to decide what reasonable
accommodations are needed in order for individuals with disabilities to receive
proper care. Iezzoni said that people with disabilities should inquire about
how doctors can address their needs when scheduling an appointment. Doctor’s
offices should document needed accommodations within patients’ electronic
health records and ask each time a new appointment is scheduled if a person’s
needs or preferences have changed, she said. Studies show that people with
disabilities often receive substandard care, with individuals examined in their
wheelchairs rather than on exam tables and those who are deaf going without
sign-language interpreters, for example, the researchers said. The latest
survey suggests that at least some physicians are concerned with 68% indicating
that they believe they are at risk for ADA lawsuits.
The findings highlight the need
for improvements in medical training, according to those behind the study. “Medical
schools are currently training students about combating racism, and there
should also be training in combating discrimination against people with
disability, also known as ‘ableism,'” said Eric G. Campbell, a survey scientist
at the University of Colorado and a senior author of the study. “Every
practicing physician can expect to see increasing numbers of people with
disability, and they need to know how to accommodate them.”
^ These findings do not surprise
me. The vast majority of people (Government Officials, those in the
Tourist/Travel Sector, Doctors/Nurses, Teachers/Professors, etc.) do not know
or care to know how they are required by law to help the Disabled. They would
rather plead ignorance when caught breaking the law than treat the Disabled as
the people they are. ^
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