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Optimal Healthcare for Women of Color with Disabilities
Jaye E. Hefner, MD
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Healthcare for Women with Physical Disabilities
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Learning Objectives
To describe the barriers and disparities in healthcare that women of color with disabilities face in accessing primary care
To identify the availability of healthcare services among women of color with disabilities
To discuss interventions for providers to reduce healthcare disparities in their own practice
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Scope of the Problem
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Source: (Bradsher, 1996)
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Routine Screening
Persons with major mobility problems:
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The Triple Oppression? Disability, Race and Gender
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Discrimination on the Basis of Disability
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Discrimination
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Did we really learn everything we needed to know in kindergarten?
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And It Gets Worse�
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The Triple Oppression? Disability, Race and Gender
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What is the cultural competence?
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Defining Disability
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Perceptions of Disability
1994-1995 NHIS-D self-respondents "Perceives self as NOT having a disability"
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Perceptions of Disability
Source: Iezzoni, 2000
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Perceptions of Disability
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Why include disability in cultural competency?
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What can be done?
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Access barriers constitute the majority of the limitation to primary healthcare services
These include:
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Improve Doctor-Patient Communication
Culturally competent communication includes all of the cultures that your patient is a member of (whether or not they self-identify with that culture or not)
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Disability-Related Screening
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What are secondary conditions?
Those physical, medical, cognitive, emotional, or psychosocial consequences to which persons with disabilities are more susceptible by virtue of an underlying condition, including adverse outcomes in health, wellness, participation, and quality of life.
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Examples include:
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Welner Exam Table
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Mammography
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Will I be able to pay my bills?
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Summary
There are tremendous unmet needs in clinical care, medical education and training, and clinical research to close the gap and eliminate the health disparities that exist for women, women of color, women with disabilities, women of color with disabilities
Last Revised: July 24, 2006