More Than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities

Hardcover | October 16, 2006

byLisa I. Iezzoni, Bonnie L. ODay

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Nearly twenty percent of Americans live today with some sort of disability, and this number will grow in coming decades as the population ages. Despite this, the U.S. health care system is not set up to provide care comfortably, safely, and efficiently to persons with disabilities.Individuals with disabilities can therefore face significant barriers to obtaining high quality health care. Some barriers result from obvious impediments, such as doors without automatic openers and examining tables that are too high. Other barriers arise from faulty communication betweenpatients and health care professionals, including misconceptions among clinicians about the daily lives, preferences, values, and abilities of persons with disabilities. Yet additional barriers relate to health insurance limits on items and services essential to maximizing health and independence.This book examines the health care experiences of persons who are blind, deaf, hard of hearing, or who have difficulties using their legs, arms, or hands. The book then outlines strategies for overcoming or circumventing barriers to care, starting by just asking persons with disabilities aboutworkable solutions. Creating safe and accessible health care for persons with disabilities will likely benefit everyone at some point. This book has three parts. The first part looks at the historical roots of healthcare access for persons with disabilities in the United States. The second partdiscusses the current situation and the special challenges for those with disabilities. The third part looks forward to discuss the ways in which healthcare quality and access can improve.

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From the Publisher

Nearly twenty percent of Americans live today with some sort of disability, and this number will grow in coming decades as the population ages. Despite this, the U.S. health care system is not set up to provide care comfortably, safely, and efficiently to persons with disabilities.Individuals with disabilities can therefore face signi...

Lisa I. Iezzoni is at Harvard Medical School. Bonnie L. O'Day is at Cornell University.

other books by Lisa I. Iezzoni

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Kobo ebook|Jun 1 2003

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Format:HardcoverDimensions:384 pages, 6.18 × 9.41 × 0.98 inPublished:October 16, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195172760

ISBN - 13:9780195172768

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Table of Contents

PrefacePart I. Setting the Stage: Disability and Access to Health Care in the United StatesChapter 1. Roots of the ProblemChapter 2. Defining DisabilityChapter 3. Health Insurance and Accessing the Health Care SystemPart II. Health Care Experiences of Persons with DisabilitiesChapter 4. Finding CareChapter 5. Getting Into and Around Health Care SettingsChapter 6. Challenges to Interpersonal CommunicationChapter 7. Etiquette During Physical Examinations and Interactions with Office StaffChapter 8. Clinical Competence and Technical CommunicationChapter 9. Pushing Against Boundaries of the Health Care SystemPart III. Improving Health Care for Persons with DisabilitiesChapter 10. Using Universal Design to Accommodate AllChapter 11. Self-Management and AdvocacyChapter 12. Improving Patient-Clinician CommunicationChapter 13. Accessible Communication and InformationChapter 14. Designing Accsesible Health Care SettingsChapter 15. The Internet and Information TechnologiesChapter 16. Healtlhy and Accessible CommunitiesAppendix 1. Internet Resources Addressing General Disability and Health Care TopicsAppendix 2. Internet Resources Addressing Specific Disabilities, Diseases, and DisordersAppendix 3. Suggestions for Improving Accessbility of Health Care ServicesEndnotesReferences