Evidence map›Paper›PMID 37383833›Full record

ArticleAEM education and training2023

From inequity to access: Evidence-based institutional practices to enhance care for individuals with disabilities.

Jason Rotoli, Cori Poffenberger, Anika Backster, Richard Sapp, Payal Modi, Christine R Stehman, Carl Mirus, Luke Johnson, Jeffrey N Siegelman, Wendy C Coates

Abstract read
In one paragraph

Article in AEM education and training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jason RotoliUniversity of Rochester Rochester New York USA.ORCID https://orcid.org/0000-0002-1251-4469
Cori PoffenbergerUniversity of New Mexico Albuquerque New Mexico USA.ORCID https://orcid.org/0000-0003-0461-1071
Anika BacksterEmory University Atlanta Georgia USA.
Richard SappMassachusetts General Hospital Boston Massachusetts USA.
Payal ModiUMass Memorial Medical Center Worcester Massachusetts USA.
Christine R StehmanUniversity of Illinois College of Medicine-Peoria/OSF Healthcare Peoria Illinois USA.
Carl MirusUT Southwestern Medical Center Dallas Texas USA.
Luke JohnsonUniversity of Rochester Rochester New York USA.
Jeffrey N SiegelmanEmory University Atlanta Georgia USA.ORCID https://orcid.org/0000-0003-1943-7862
Wendy C CoatesHarbor-UCLA Medical Center Los Angeles California USA.ORCID https://orcid.org/0000-0002-3305-8802

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People with disabilities experience barriers to care in all facets of health care, from engaging with the provider in a clinical setting (attitudinal and communication barriers) to navigating a large institution in a complex health care environment (organizational and environmental barriers), culminating in significant health care disparities. Institutional policy, culture, and physical layout may be inadvertently fostering ableism, which can perpetuate health care inaccessibility and health disparities in the disability community. Here, we present evidence-based interventions at the provider and institutional levels to accommodate patients with hearing, vision, and intellectual disabilities. Institutional barriers can be met with strategies of universal design (i.e., accessible exam rooms and emergency alerts), maximizing electronic medical record accessibility/visibility, and institutional policy development to recognize and reduce discrimination. Barriers at the provider level can be met with dedicated training on care of patients with disabilities and implicit bias training specific to the surrounding patient demographics. Such efforts are crucial to ensuring equitable access to quality care for these patients.

Identifiers

PMID37383833
PMCPMC10294210

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.