The US healthcare system is broken, full of obstacles for patients with disabilities. Physician attitudes appear to be a barrier to care. MedTwitter
But"the disability itself isn't what leads to worse outcomes," said Allison Kessler, MD, section chief of the Renée Crown Center for Spinal Cord Innovation and associate director of the Shirley Ryan AbilityLab. This study does a good job at highlighting"the need for change on multiple levels," said Kessler, who was not a member of the study team.
"It's also clear that the current framework of healthcare in the United States does not lend to allowing physicians and medical providers the time needed to adequately address patient issues — those with disabilities or just multiple complex problems," Colin O'Reilly, DO, vice president and chief medical officer at Children's Specialized Hospital, an acute rehabilitation facility affiliated with RWJBarnabas Health, in New Brunswick, New Jersey.
Lagu agreed, saying this research"is not conclusive in any way." The excuses doctors use to discharge patients with disabilities, such as"we don't accept your insurance," "we aren't taking new patients," and"we can't provide you with the appropriate care," could be legitimate, the study authors write.
The Americans With Disabilities Act is a federal civil rights law that prohibits discrimination against individuals with disabilities in all public and private places that are open to the general public, including medical offices.
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