关键词: barrier disability healthcare access mammogram mobility impairments

来  源:   DOI:10.1093/jbi/wbz079

Abstract:
Over 1 billion people worldwide live with a disability. Patients living with disability are often challenged by many barriers to healthcare access, especially preventive and screening services. The Americans with Disabilities Act of 1990 mandated that access to public accommodations related to medical care in the United States be available to all; however, many healthcare facilities fall short of meeting this requirement. Research studies suggest that women with chronic disabilities are less likely to undergo breast cancer screening due to financial, environmental, and physical limitations, as well as psychological barriers. There is scarcity of research on the needs of individuals with mobility impairments and the features of the barriers they face when accessing healthcare services, especially breast imaging services. The objective of this article is to illustrate the existing barriers to breast imaging services that individuals with mobility impairments face and to provide a list of guidelines to be used in clinical practice for breast care practices and medical staff working with patients who have mobility impairments.
摘要:
全世界有超过10亿人患有残疾。残疾患者经常面临许多障碍,无法获得医疗保健。特别是预防和筛查服务。1990年的《美国残疾人法》规定,所有人都可以使用与美国医疗保健有关的公共场所;但是,许多医疗设施达不到这一要求。研究表明,由于经济原因,慢性残疾妇女不太可能接受乳腺癌筛查,环境,和物理限制,以及心理障碍。缺乏对行动不便的个人的需求以及他们在获得医疗保健服务时面临的障碍特征的研究,尤其是乳房成像服务。本文的目的是说明行动不便者面临的乳房成像服务的现有障碍,并提供在临床实践中用于乳房护理实践和与行动不便患者一起工作的医务人员的指南列表。
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