Many doctors report being ill-equipped to treat people with physical and cognitive disabilities, and some said they try to avoid doing so, a new study found.
Oct. 10, 2022 -- For Tara Lagu, MD, the realization that the health care system was broken for patients with disabilities came when a woman sheWhen Lagu asked the patients two, attentive daughters about the delay, their response surprised her: The women said they couldnSurprised and a bit doubtful, Lagu checked around. She found that indeed, the only way to get her patient in to see the kind of doctor she needed was to send her by ambulance.
In the interviews, conducted in fall 2018, the participants were asked about providing care for five specific types of disabilities: mobility, hearing, vision, mental health, and intellectual limitations.Some doctors admitted that limited resources and training left them without the space and necessary knowledge to properly care for patients with disabilities.
Several physicians also noted that they are inadequately reimbursed for the special accommodations — including additional staff, equipment, and time — required to care for these patients. One primary care doctor said he hired a sign-language interpreter for a patient but the bill for their services exceeded the amount insurance reimbursed. As a result, he said, he spent $30 of his own money per visit to see the patient.
Because of these limitations, some doctors in the focus groups said they try to turn away patients with disabilities. Both specialists and general practitioners said they had told patients with disabilities that they didnt feel they could provide the care needed, and suggested they look elsewhere.
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