Perspectives

Healthcare Disparities in People with Disabilities: Is There a Cure?

Authors: Carolyn Ann Smith, MD, MPH, JD

Abstract

The National Prevention Council, formed under the Patient Protection and Affordable Care Act of 2010 (PL 111–148), identifies a health disparity as a difference in health outcomes across subgroups of the population that often is linked to social, economic, or environmental disadvantages.1

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References

1. Patient Protection and Affordable Care Act of 2010, Pub L No. 111-148, 124 Stat 119. https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/html/PLAW-111publ148.htm. Accessed October 30, 2017.
2. United Nations. Official Records of the UN General Assembly. Sixty-First Session. A/61/611. https://research.un.org/en/docs/ga/quick/regular/61. Accessed October 30, 2017.
3. Centers for Disease Control and Prevention. National Center for Health Statistics. http://www.cdc.gov/nchs. Published 2016. Accessed November 2, 2017.
4. Iezzoni LI. Eliminating health and health care disparities among the growing population of people with disabilities. Health Aff (Millwood) 2011;30:1947-1954.
5. Shakespeare T. The social model of disability. In: Davis LJ, , ed. The Disability Studies Reader. New York:Taylor & Francis;2006;:195-203.
6. World Health Organization. Fifty-Fourth World Health Assembly. Resolution WHA 54.21. www.who.int/classifications/icf/wha-en.pdf. Published 2001. Accessed October 12, 2017.
7. Pharr JR, Bungum T. Health disparities experienced by people with disabilities in the United States: a Behavioral Risk Factor Surveillance System study. Glob J Health Sci 2012;4:99-108.
8. Americans With Disabilities Act of 1990, Pub L No. 101-336, 104 Stat 328. 1990.
9. Wasserman D, Asch A, Blustein J, et al. Disability and justice. The Stanford Encyclopedia of Philosophy. https://plato.stanford.edu/archives/sum2015/entries/disability-justice. Published May 23, 2013. Accessed November 16, 2018.
10. Gostin LO. The Americans with Disabilities Act at 25: the highest expression of American values. JAMA 2015;313:2231-2235.
11. Livneh H. On the origins of negative attitudes toward people with disabilities. Rehabil Lit 1982;43:338-347.
12. Paris MJ. Attitudes of medical students and health-care professionals toward people with disabilities. Arch Phys Med Rehabil 1993;74:818-825.
13. US Department of Health and Human Services. Elimination of health disparities. https://www.surgeongeneral.gov/priorities/prevention/strategy/elimination-of-health-disparities.html. Published 2014. Accessed October 30, 2017.
14. Kuczewski MG. Disability: an agenda for bioethics. Am J Bioeth 2001;1:36-44.
15. Stramondo JA. Why bioethics needs a disability moral psychology. Hastings Cent Rep 2016;46:22-30.
16. Silvers A. A neutral ethical framework for understanding the role of disability in the life cycle. Am J Bioeth 2001;1:57-58.
17. Garden R. Disability and narrative: new directions for medicine and the medical humanities. Med Humanit 2010;36:70-74.