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Drilling Deeper on the Impact of the Affordable Care Act on Disability-Related Health Care Access Disparities

机译:钻探更深的人对残疾保健机关获取差异的影响

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摘要

H. Stephen Kaye’s (p. 1015) demonstration of disability-related disparities in health care access makes a significant contribution to our knowledge about disabilities, health, and health care access. People with disabilities are a sizable segment of the population: 13% to 17% of the US population are identified with serious difficulties in one or more areas of functioning. By contrast to the earlier, diagnosis-based view, the current view of disability is defined by significant limitations in one or more functional domains. The World Health Organization advanced a functional view of disability in 2001 in its International Classification of Functioning, Disability and Health,1 and the US Department of Health and Human Services (DHHS) codified this view in its guidelines for standard disability identification as called for by the Patient Protection and Affordable Care Act (ACA).2 These identifiers include difficulties in hearing, seeing, cognition, mobility, self-care (e.g., bathing, dressing), and independent living (e.g., shopping, visiting doctor).2
机译:H. Stephen Kaye的(第1015页)卫生保健访问中残疾差距的示范对我们对残疾,健康和医疗保健获取的了解作出了重大贡献。残疾人是人口相当大的部分:13%至17%的美国人口被确定在一个或多个运作领域的严重困难。相反,与前面的诊断基础相比,当前的残疾视图由一个或多个功能域中的显着限制定义。世界卫生组织在2001年推进了履行残疾的功能看法,在其国际运作,残疾和健康,1和美国卫生和人类服务部(DHHS)中的国际卫生部门(DHHS)在其标准残疾识别准则中编纂了这一观点,如所要求的患者保护和经济实惠的护理法案(ACA).2这些标识符包括听力,看见,认知,流动性,自我护理(例如,沐浴,敷料)和独立生活(例如,购物,访问医生)。2

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