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首页> 外文期刊>Disability and health journal >Achieving accessible health care for people with disabilities: Why the ADA is only part of the solution.
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Achieving accessible health care for people with disabilities: Why the ADA is only part of the solution.

机译：为残疾人提供无障碍医疗服务：为什么ADA只是解决方案的一部分。

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摘要

People with various disabilities encounter numerous physical and programmatic barriers to receiving health care of equal quality and effectiveness as that received by people without disabilities. Litigation and settlement negotiations under such federal laws as the Americans with Disabilities Act of 1990 have resulted in the removal of access barriers in specific instances, but have not yet resulted in the kind of systemic change needed in the health care delivery system. This article analyses some of the factors that make accessible health care so difficult to achieve. Accessible health care is viewed through a public health lens by which changes in public policy and social views of disability are necessary for achieving sustainable long-term success. The advantages and disadvantages of judicial policy making in the analogous contexts of tobacco cessation and Title VI medical discrimination in the United States is briefly discussed. The powerful but blunt tool of litigation is analyzed as only one tool among an array of public policy and legislative tools needed to effect barrier removal in the field of health care, especially among the smaller provider clinics and practices where a majority of outpatient visits take place. Lawsuits and other policy tools, such as enacting further legislation to link accessibility standards to federal agency enforcement, creating federally funded technical assistance centers that will disseminate practical policy and procedural tools to providers, and mandating the gathering of disability-specific disparities and effectiveness data, must work in concert to transform our health care system.
机译：各种残障人士在获得与非残障人士同等质量和效力的医疗保健方面遇到许多身体和程序障碍。根据诸如1990年《美国残疾人法》之类的联邦法律进行的诉讼和和解谈判，在特定情况下已消除了通行障碍，但尚未导致医疗保健提供系统所需的那种系统性变革。本文分析了使难以获得卫生保健的一些因素。通过公共卫生的视角来看待可获取的医疗保健，在公共卫生的视角下，改变公共政策和社会对残疾的看法对于实现可持续的长期成功是必要的。简要讨论了在美国戒烟和第六章医疗歧视的类似情况下司法政策制定的利弊。强大而简单的诉讼工具被分析为在卫生保健领域实现障碍消除所需的一系列公共政策和立法工具中的唯一工具，尤其是在多数门诊就诊的小型提供者诊所和实践中。诉讼和其他政策工具，例如颁布进一步的立法，将无障碍获取标准与联邦机构的执行联系起来，创建由联邦政府资助的技术援助中心，将向提供者传播实用的政策和程序工具，并要求收集针对残疾人的差异和有效性数据，必须共同努力以改变我们的医疗体系。

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