Evidence map›Paper›PMID 38688730›Full record

ArticleDisability and health journal2024

What some physicians say about caring for patients with disability: Responses to open-ended question to nationwide physician survey.

Lisa I Iezzoni

Abstract read
In one paragraph

Article in Disability and health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

1 author.

Lisa I IezzoniHealth Policy Research Center, Mongan Institute, Massachusetts General Hospital, Department of Medicine, Harvard Medical School, 100 Cambridge Street, Suite 1600, Boston, MA, 02114, United States. Electronic address: liezzoni@mgh.harvard.edu.

Funding

Surveying Physicians to Understand Health Care Disparities Affecting Persons with Disability and Identify Approaches to Improve Their CareR01HD091211 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI IEZZONI, LISA I. · 2018 to 2020
$1.7M
NICHD NIH HHS R01 HD091211
6 · The paper itself

Abstract

backgroundFor over 50 years, federal disability civil rights laws have mandated that patients with disability receive equitable health care. However, disabled patients continue to experience health care disparities.

objectiveTo explore physicians' views, in their own words, about caring for patients with disability.

methodsReview of responses to open-ended question at the end of a nationally representative survey of 714 outpatient physicians about their experiences caring for adult disabled patients. The open-ended question asked for additional comments participants wanted to share. Only 108 (15.1 %) survey participants provided responses suitable for analysis (e.g., legible, complete thought). All issues reported here reflect comments from ≥5 participants.

resultsCommon concerns involved high costs, too little time, insufficient space, inadequate training, and lack of adequate mental health services to care for disabled patients. Many physicians appeared frustrated by legal requirements that they cover accommodation costs. Multiple physicians described as "unfair" having to pay for sign language interpreters, especially since interpreter costs generally exceed reimbursements for patients' visits. Physicians also commented on high costs and space demands of accessible exam tables, especially for small practices, and on challenges accommodating patients with severe obesity, including concerns that patients with severe obesity could damage their exam tables. Some participants suggested that disabled patients require advocates to get good quality care.

conclusionsAlbeit limited by the small number of responses, these open-ended comments from our nationwide survey of physicians suggest some doctors view certain accessibility requirements as unfair to them or infeasible in their practice environments.

Indexed as

Persons with DisabilitiesPhysiciansAdultAttitude of Health PersonnelFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMiddle AgedSurveys and QuestionnairesUnited StatesAccessBarriersDisabilityPhysiciansReasonable accommodationsStructural ableism

Identifiers

PMID38688730
PMCPMC11194149

What OpenQuestion holds

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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.